Neil and Kim Publish in BMJ Quality & Safety

Neil Keshvani and Kimberly Berger published in BMJ Quality & Safety last week. Their piece, titled, ”Roadmap for improving the accuracy of respiratory rate measurements” details their quality improvement project, where they shadowed nurses and patient care advocates to elucidate barriers to accurate respiratory rate measurement. They found that PCAs don’t have time-keeping devices, which makes counting very difficult. They created a modified workflow process to improve accuracy and efficiency with a goal of retraining all PCAs and nurses to use this workflow.

Well done Neil and Kim, and a big thanks for faculty mentors Dr. Oanh Nguyen and Dr. Anil Makam.

— Chiefs

Nivi Publishes in BMJ Case Reports and JAMA Internal Medicine

Nivedita Arora, PGY2, published a case report titled, ”Durable complete remission with combination chemotherapy and bortezomib in HIV-associated plasmablastic lymphoma” in BMJ case reports. 

Nivi and Hem onc faculty Dr. Navid Sadeghi present a patient with advanced AIDS and stage 4 plasmablastic lymphoma, and discuss its treatment with a relatively novel chemotherapy regimen (EPOCH + bortezomib), with the patient now in remission.

Capture

She also published a Teachable Moment in JAMA Internal Medicine detailing the overuse of thyroid ultrasounds to workup hypothyroidism, contributing to the thyroid cancer ‘epidemic’.  Co-authors include Arjun and Dr. Ugis Gruntmanis.

Congrats, Nivi !

— Chiefs

Clarissa Presents at the American Society of Nephrology meeting

Maria Clarissa Tio, PGY3, gave an oral presentation at the American Society of Nephrology (ASN) meeting in New Orleans this weekend. Her talk was titled, ”MCP-1 is associated with atherosclerotic events and death in CKD.”


She summarizes her work here:
– Monocyte chemoattractant protein-1 (MCP-1) is an inflammatory marker involved in the formation of early plaques in atherosclerosis.
– We looked into the Dallas Heart Study to see if MCP-1 is a useful marker of hard outcomes in non-dialysis CKD.
– Our conclusions:
– MCP-1 was associated with eGFR but not albumin-creatinine ratio
– MCP-1 was associated with all-cause death, independent of traditional cardiovascular risk factors and eGFR.
– Despite the association of MCP-1 with eGFR, MCP-1 is still a marker of death in CKD as it is in the general population.

Special thanks to her mentors  Dr. Susan Hedayati and Dr. Parker Gregg.

We are so proud of you, Clarissa.

— Chiefs

Image Challenge of the Week!

You are rounding in the medical intensive care unit and begin to examine your patient who is intubated and sedated for refractory status epilepticus. The overnight nurse turns your attention to the patient’s Foley bag. Upon evaluation, you note the following:

propofol urine.PNG
J Clin Diagn Res. 2015 Nov; 9(11): OD03–OD04.

What is the likely cause of this finding? Scroll down for answer.

Continue reading Image Challenge of the Week!

An and Omer Present at CHEST

R2s An Lu and Omer Mirza both presented posters at the CHEST meeting in Toronto this week. Dr. Kazi was able to get funds for them to make this international conference!

An’s poster with Dr. Ruggiero, was titled, ”Surviving Sepsis: Time to Lactate”. Omer’s poster with Dr. Banga as the senior author was titled, ”Independent Predictors of Anastomotic Dehiscence and Its Association With Survival Among Patients With Lung Transplantation: An Analysis of UNOS Database.

Here are some pictures:

 

Great job An and Omer : )

— Chiefs

Lauren Publishes in Am J Hosp Palliat Care

PGY3 Lauren Smith had a fantastic paper out this week in Am J Hosp Palliat Care. Her paper titled, ”Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System”, found that  markers of pain, advanced disease, and poor prognosis were associated with placement of inpatient palliative care consult orders for patients with breast, lung, and colorectal cancer. Special thanks to IM mentors Dr. Ramona Rhodes and Dr. Ethan Halm.

Amazing job, Lauren : )

— Chiefs

UTSW Internal Medicine

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