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Article ; Online: Characteristics and outcomes of socioeconomically disadvantaged pregnant individuals with adult congenital heart disease presenting to a Cardio-Obstetrics Program.

Yellin, Shira / Wiener, Sara / Kankaria, Rohan / Vorawandthanachai, Thammatat / Hsu, Daphne / Haberer, Kim / Bortnick, Anna E / Diana, Wolfe S

American journal of obstetrics & gynecology MFM

2023 Volume 5, Issue 11, Page(s) 101146

Abstract: Background: Outcomes of individuals with adult congenital heart disease who are socioeconomically disadvantaged and cared for in cardio-obstetrical programs, are lacking.: Objective: This study aimed to describe the clinical characteristics, maternal ...

Abstract	Background: Outcomes of individuals with adult congenital heart disease who are socioeconomically disadvantaged and cared for in cardio-obstetrical programs, are lacking. Objective: This study aimed to describe the clinical characteristics, maternal pregnancy outcomes, and contraceptive uptake in individuals with adult congenital heart disease in an urban cardio-obstetrical program. Study design: Retrospective data were collected for individuals with adult congenital heart disease seen in the Maternal Fetal Medicine-Cardiology Joint Program at Montefiore Health System between 2015 and 2021 and compared using modified World Health Organization class I, II vs the modified World Health Organization class ≥II/III. Results: Over 90% of individuals with adult congenital heart disease were pregnant at the time of referral. Modified World Health Organization class I, II (n=77, 62.4% Black or Hispanic/Latina) had a total of 94 pregnancies and modified World Health Organization class ≥II/III (n=49, 49.0% Black or Hispanic/Latina) had a total of 56 pregnancies. Over 25% of individuals in each group had a body mass index ≥30 (P=.78), and very low summary socioeconomic scores. Modified World Health Organization class ≥II/III were more likely to be anticoagulated in the first trimester than modified World Health Organization class I, II (10.7% vs 0.0%, P=.002) and throughout pregnancy (14.3% vs 3.2% P=.02). Modified World Health Organization class ≥II/III were more likely to require arterial monitoring during delivery than modified World Health Organization class I, II (14.3% vs 0.0%, P=.001) or delivery under general anesthesia (8.9% vs 1.1%, P=.03) but had a comparable frequency of cesarean delivery (35.8% vs 41.3%, P=.68). There were no in-hospital maternal deaths. There was no difference in the type of contraception recommended by modified World Health Organization class, however, modified World Health Organization class ≥II/III were more likely to receive long-acting types or permanent sterilization (35.6% vs 54.6%, P=.045). Conclusion: In a socioeconomically disadvantaged cohort with adult congenital heart disease from a historically marginalized community, those with modified World Health Organization class ≥II/III had more complex antepartum and intrapartum needs but similar maternal and obstetrical outcomes as modified World Health Organization class I, II. The multidisciplinary approach offered by a cardio-obstetrics program may contribute to successful outcomes in this high-risk cohort, and these data are hypothesis-generating.
MeSH term(s)	Pregnancy ; Female ; Humans ; Adult ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/therapy ; Retrospective Studies ; Pregnancy Outcome/epidemiology ; Cesarean Section
Language	English
Publishing date	2023-09-01
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ISSN	2589-9333
ISSN (online)	2589-9333
DOI	10.1016/j.ajogmf.2023.101146
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Article ; Online: Point-of-Care Ultrasound in the Pediatric Emergency Department: Where We're at, Where We're Going.

Gonzalez, Laura K / Yellin, Sharon / Arroyo, Alexander C

Advances in pediatrics

2018 Volume 65, Issue 1, Page(s) 121–142

MeSH term(s)	Abdomen/diagnostic imaging ; Brain/diagnostic imaging ; Brain Diseases/diagnostic imaging ; Contrast Media/administration & dosage ; Digestive System Diseases/diagnostic imaging ; Echocardiography ; Emergency Service, Hospital ; Eye/diagnostic imaging ; Eye Diseases/diagnostic imaging ; Humans ; Intubation, Intratracheal ; Neck/diagnostic imaging ; Neoplasms/diagnostic imaging ; Nerve Block/methods ; Pediatrics ; Point-of-Care Systems ; Ultrasonography ; Wounds and Injuries/diagnostic imaging
Chemical Substances	Contrast Media
Language	English
Publishing date	2018-06-15
Publishing country	United States
Document type	Journal Article ; Review ; Video-Audio Media
ZDB-ID	210524-x
ISSN	1878-1926 ; 0065-3101
ISSN (online)	1878-1926
ISSN	0065-3101
DOI	10.1016/j.yapd.2018.04.001
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Article ; Online: Direct cervicoplasty.

Jordan, J Randall / Yellin, Seth

Facial plastic surgery : FPS

2014 Volume 30, Issue 4, Page(s) 451–461

Abstract: Rejuvenation of the aging neck is one of the common reasons for the patients presented to facial plastic surgeons. In the author's opinion, most of these patients will be best served by a full rhytidectomy approach with periauricular incisions, skin flap ...

Abstract	Rejuvenation of the aging neck is one of the common reasons for the patients presented to facial plastic surgeons. In the author's opinion, most of these patients will be best served by a full rhytidectomy approach with periauricular incisions, skin flap undermining, and platysmaplasty. There is a subset of patients, however, who presented with complaints limited to the so-called Turkey Gobbler deformity, and who do not wish to undergo a full rhytidectomy approach. These patients may be well served by a lesser procedure such as a direct cervicoplasty or submentoplasty. The advantages of this approach include shorter operative time, faster recovery, and lower complication rates. The primary disadvantage of these more limited approaches is that there is an anterior cervical scar that may be visible under some conditions. This article will review the multiple options for skin incisions as well as details of the technique that the authors have found may lead to a successful rejuvenation of the submental region.
MeSH term(s)	Humans ; Neck/surgery ; Rhytidoplasty/methods
Language	English
Publishing date	2014-08
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0034-1383553
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Article ; Online: Cranium-Penetrating Mass Detected by Ultrasound Expedited Management of Langerhans Cell Histiocytosis.

Morgan, Brian / Lau, Hsien Lee / Yellin, Sharon

Pediatric emergency care

2017 Volume 33, Issue 4, Page(s) 290–292

Abstract: A 6-year-old boy presented to the pediatric emergency department with a unilateral 5 × 3-cm superficial mass on the postauricular region growing for 1 month. Point-of-care ultrasound was used to evaluate the mass, which revealed a complex cystic mass ... ...

Abstract	A 6-year-old boy presented to the pediatric emergency department with a unilateral 5 × 3-cm superficial mass on the postauricular region growing for 1 month. Point-of-care ultrasound was used to evaluate the mass, which revealed a complex cystic mass penetrating the temporal bone. After confirmatory magnetic resonance imaging, the patient was transferred for neurosurgical evaluation, and the tumor was excised. Pathology revealed Langerhans cell histiocytosis.
MeSH term(s)	Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/surgery ; Child ; Histiocytosis, Langerhans-Cell/diagnostic imaging ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Point-of-Care Systems ; Treatment Outcome ; Ultrasonography
Language	English
Publishing date	2017-04
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000001092
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Article ; Online: Maternal Outcomes in Women with Peripartum Cardiomyopathy versus Age and Race-Matched Peers in an Urban US Community.

Wolfe, Diana S / Liu, Christina / Alboucai, Jack / Karten, Ariel / Mushi, Juliet / Yellin, Shira / Berkowitz, Julia L / Vega, Shayna / Felix, Nicole / Liaqat, Wasla / Kankaria, Rohan / Vorawandthanachai, Thammatat / Bortnick, Anna E

Journal of cardiovascular development and disease

2022 Volume 9, Issue 8

Abstract: Peripartum cardiomyopathy (PPCM) is idiopathic systolic congestive heart failure around pregnancy. Comparisons with matched controls are lacking. We investigated maternal characteristics and outcomes up to 12 months in a cohort admitted to Montefiore ... ...

Abstract	Peripartum cardiomyopathy (PPCM) is idiopathic systolic congestive heart failure around pregnancy. Comparisons with matched controls are lacking. We investigated maternal characteristics and outcomes up to 12 months in a cohort admitted to Montefiore Health System in Bronx, New York 1999−2015 (n = 53 cases and n = 92 age and race-matched controls, >80% Black or Hispanic/Latina). Compared to peers, women with PPCM had more chronic hypertension (24.5% vs. 8.8%, p = 0.001), prior gestational hypertension (20.8% vs. 5.4%, p = 0.001), prior preeclampsia (17.0% vs. 3.3%, p = 0.001), familial dilated cardiomyopathy (5.7% vs. 0.0%, p = 0.04), smoking (15.1% vs. 2.2%, p = 0.001), lower summary socioeconomic scores (−4.12 (IQR −6.81, −2.13) vs. −1.62 (IQR −4.20, −0.74), p < 0.001), public insurance (67.9% vs. 29.3% p = 0.001), and frequent depressive symptoms. Women with PPCM were often admitted antepartum (34.0% vs. 18.5%, p = 0.001) and underwent Cesarean section (65.4% vs. 30.4%, p = 0.001), but had less preterm labor (27.3% vs. 51.1%, p = 0.001). Women were rarely treated with bromocriptine (3.8%), frequently underwent left ventricular assist device placement (9.4% and n = 2 with menorrhagia requiring transfusion and progesterone) or heart transplantation (3.8%), but there were no in-hospital deaths. In sum, women with PPCM had worse socioeconomic disadvantage and baseline health than matched peers. Programs addressing social determinants of health may be important for women at high risk of PPCM.
Language	English
Publishing date	2022-08-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2777082-5
ISSN	2308-3425 ; 2308-3425
ISSN (online)	2308-3425
ISSN	2308-3425
DOI	10.3390/jcdd9080250
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Article: Direct Cervicoplasty

Jordan, J. Randall / Yellin, Seth

Facial Plastic Surgery

(Facets of Facelifting)

2014 Volume 30, Issue 04, Page(s) 451–461

Series title	Facets of Facelifting
Abstract	Rejuvenation of the aging neck is one of the common reasons for the patients presented to facial plastic surgeons. In the author's opinion, most of these patients will be best served by a full rhytidectomy approach with periauricular incisions, skin flap undermining, and platysmaplasty. There is a subset of patients, however, who presented with complaints limited to the so-called Turkey Gobbler deformity, and who do not wish to undergo a full rhytidectomy approach. These patients may be well served by a lesser procedure such as a direct cervicoplasty or submentoplasty. The advantages of this approach include shorter operative time, faster recovery, and lower complication rates. The primary disadvantage of these more limited approaches is that there is an anterior cervical scar that may be visible under some conditions. This article will review the multiple options for skin incisions as well as details of the technique that the authors have found may lead to a successful rejuvenation of the submental region.
Keywords	cervicoplasty ; submentoplasty ; rhytidectomy ; platysmaplasty
Language	English
Publishing date	2014-07-30
Publisher	Thieme Medical Publishers
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0034-1383553
Database	Thieme publisher's database

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Article ; Online: Case report classics in otolaryngology - head and neck surgery: citation analysis.

Edelmayer, L W / Fenton, J E / Yellin, S A / Shearer, D J / Coelho, D H

The Journal of laryngology and otology

2018 Volume 132, Issue 7, Page(s) 651–656

Abstract: Objectives: To analyse publication and citations trends of case reports within otolaryngology - head and neck surgery literature, with specific attention to the most-cited reports.Study designDatabase query.: Methods: Web of Science was searched for ... ...

Abstract	Objectives: To analyse publication and citations trends of case reports within otolaryngology - head and neck surgery literature, with specific attention to the most-cited reports.Study designDatabase query. Methods: Web of Science was searched for article type 'case reports' published in the leading otolaryngology - head and neck surgery journals since 1945. Variables including publication dates, citation dates and numbers, author, author number, and others were recorded and analysed for trends. The reports with the most citations (classics) were further studied. Results: Of nearly 67 000 published articles in leading otolaryngology - head and neck surgery journals, the overall number of case reports as a percentage of the total has substantially decreased over time. A total of 110 case report classics were identified for which citations have increased. Conclusion: Although the case report may not be worthy of its tarnished record, declining trends in publication suggest a limited future for this valuable research and educational resource.
MeSH term(s)	Bibliometrics ; Humans ; Medical Records ; Otolaryngology/trends ; Otorhinolaryngologic Surgical Procedures
Language	English
Publishing date	2018-07
Publishing country	England
Document type	Journal Article
ZDB-ID	218299-3
ISSN	1748-5460 ; 0022-2151
ISSN (online)	1748-5460
ISSN	0022-2151
DOI	10.1017/S0022215118000385
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Book ; Online: High-field Spatial Imaging of Charge Transport in Silicon at Low Temperature

Stanford, C. / Moffatt, R. A. / Kurinsky, N. A. / Brink, P. L. / Cabrera, B. / Cherry, M. / Insulla, F. / Kelsey, M. / Ponce, F. / Sundqvist, K. / Yellin, S. / Young, B. A.

2019

Abstract: We present direct imaging measurements of charge transport across a 1 cm x 1 cm x 4 mm-thick crystal of high purity silicon ($\sim$15 k$\Omega$-cm) at temperatures of 5 K and 500 mK. We use these data to measure the lateral diffusion of electrons and ... ...

Abstract	We present direct imaging measurements of charge transport across a 1 cm x 1 cm x 4 mm-thick crystal of high purity silicon ($\sim$15 k$\Omega$-cm) at temperatures of 5 K and 500 mK. We use these data to measure the lateral diffusion of electrons and holes as a function of the electric field applied along the [111] crystal axis, and to verify our low-temperature Monte Carlo software. The range of field strengths in this paper exceed those used in the previous study (DOI:10.1063/1.5049691) by a factor of 10, and now encompasses the region in which some recent silicon dark matter detectors operate (DOI:10.1103/PhysRevLett.121.051301). We also report on a phenomenon of surface charge trapping which can reduce expected charge collection.
Keywords	Condensed Matter - Materials Science
Publishing date	2019-10-04
Publishing country	us
Document type	Book ; Online
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Article ; Online: Inflammatory markers are poorly predictive of clinical outcomes among hospitalized patients with COVID-19.

Barrett, Brendan / Pamphile, Styve / Yang, Fan / Naeem, Farnia / Kim, Jinsung / Annam, Jayabhargav / Borczuk, Rachel / Yellin, Shira / Bass, Carly / Fowler, Sabrina / Mosheyev, Maykl / Mayer, Yael Jessica / Friedman, Benjamin W

The American journal of emergency medicine

2020 Volume 46, Page(s) 595–598

Abstract: Background: Inflammatory markers are often elevated in patients with COVID-19. The objective of this study is to assess the prognostic capability of these tests in predicting clinical outcomes.: Methods: This was a retrospective cohort study ... ...

Abstract	Background: Inflammatory markers are often elevated in patients with COVID-19. The objective of this study is to assess the prognostic capability of these tests in predicting clinical outcomes. Methods: This was a retrospective cohort study including all patients at least 16 years old with COVID-19 who were admitted from one of five Emergency Departments between March 6th and April 4th, 2020. We included 1123 laboratory-confirmed cases of COVID-19. We analyzed white blood cell count (WBC), absolute lymphocyte count (ALC), lactate dehydrogenase (LDH), C-reactive protein (CRP), procalcitonin (PCT), D-dimer, ferritin, and erythrocyte sedimentation rate (ESR). We looked at clinical outcomes including death, the need for endotracheal intubation (ETT), the need for renal replacement therapy (RRT), and ICU admission. We report Spearman's ρ Results: The mean age of our patient population was 62 (SD 16). Thirty-seven percent of patients self-reported Spanish/Hispanic/Latino ethnicity, 47% reported their race as Black or African-American, and 10% reported their race as non-Hispanic white. Inter-rater reliability was 96%. There was no laboratory value that had both sensitivity and specificity of at least 0.90, or that had a positive predictive value and negative predictive value of at least 0.90, or that had likelihood ratios that could reliably predict a severe course of disease. Conclusion: Inflammatory markers drawn within 48 h of arrival, though often correlated with clinical outcomes, are not individually highly predictive of which patients in a predominantly older and minority population will die or require intubation, RRT, or ICU admission.
MeSH term(s)	Biomarkers/blood ; Blood Sedimentation ; C-Reactive Protein/metabolism ; COVID-19/blood ; COVID-19/epidemiology ; Female ; Follow-Up Studies ; Humans ; Inpatients ; Leukocyte Count ; Lymphocyte Count ; Male ; Middle Aged ; Pandemics ; Predictive Value of Tests ; Procalcitonin/blood ; Prognosis ; ROC Curve ; Retrospective Studies ; SARS-CoV-2
Chemical Substances	Biomarkers ; Procalcitonin ; C-Reactive Protein (9007-41-4)
Language	English
Publishing date	2020-11-24
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2020.11.038
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Article: Aesthetics for the next millennium.

Yellin, S A

Facial plastic surgery : FPS

1997 Volume 13, Issue 4, Page(s) 231–239

Abstract: The approach of a new millenium provides us, as rhinoplasty surgeons, the opportunity to reflect on where we are and where we are going. Aesthetically, there are several trends that are evident today. The first is the desire for a natural, unoperated ... ...

Abstract	The approach of a new millenium provides us, as rhinoplasty surgeons, the opportunity to reflect on where we are and where we are going. Aesthetically, there are several trends that are evident today. The first is the desire for a natural, unoperated appearance to the final rhinoplasty result. Second, is that our patient population continues to be more racially diverse; Caucasian normative standards of facial analysis are no longer sufficient. What is required is a broader understanding of ethnically specific facial features. Third, the standard values of facial and nasal analysis are derived from population means. If we desire to create beauty, these standards may not be adequate. Beauty is an ill-defined concept that is obvious to the observer and recognized cross-culturally, however, it is difficult to quantify. To consistently achieve beautiful rhinoplasty results, we must start with an understanding of what our aesthetic ideals should be. This has yet to be satisfactorily defined for all racial groups and remains a challenge for the future.
MeSH term(s)	Beauty ; Continental Population Groups ; Esthetics/psychology ; Face/anatomy & histology ; Humans ; Nose/anatomy & histology ; Rhinoplasty
Language	English
Publishing date	1997-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0028-1082423
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