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COVID-19 Coagulopathy in a Patient With Systemic Lupus Erythematosus and Antiphospholipid Antibodies [Case Report]

Freeman-Beman, Latoya; Ratner, Sabina; Kabani, Naureen; Neculiseanu, Elvira; Ginzler, Ellen
PMID: 32947435
ISSN: 1536-7355
CID: 5141002

Mixed Adenoneuroendocrine Carcinoma of the Gastroesophageal Junction: A Rare Find

Ambesh, Paurush; Weissbrot, Joseph; Ratner, Sabina; Sinha, Ankur; Patti, Ravikaran; Balderacchi, Jasminka; Marcelin, Michael; Wolf, Lawrence; Kamholz, Stephan
Neoplastic lesions that demonstrate neuroendocrine features are rare. However, esophageal tumors containing both adenocarcinomatous and neuroendocrine components are exceedingly rare. Mixed adenoneuroendocrine carcinomas (MANECs) are gastrointestinal tumors with both adenocarcinomatous and neuroendocrine differentiation. They have a tendency for early metastases but clinically manifest relatively late. Imaging studies are often nonspecific with regard to tumor type, and a histopathologic study of biopsy material is required for definitive diagnosis. The overall prognosis is poor. The current report describes a rare case of gastroesophageal MANEC tumor, with approximately 60% neuroendocrine and 40% adenocarcinomatous components. Since there is a dearth of concrete management guidelines for MANECs, we present possible management options to add to the existing literature.
PMCID:5753953
PMID: 29318164
ISSN: 2324-7096
CID: 4940682

Safety considerations for patients with communication disorders in rehabilitation medicine settings

Cristian, Adrian; Giammarino, Claudia; Olds, Michael; Adams, Elizabeth; Moriarty, Christina; Ratner, Sabina; Mural, Shruti; Stobart, Eric C
Communication barriers can pose a significant safety risk for patients. Individuals in a communication-vulnerable state are commonly seen in rehabilitation settings. These patients cannot adequately communicate their symptoms, wants, and needs to providers. Causes of communication barriers include neurologic impairments, such as stroke, cerebral palsy, and Parkinson disease, and language barriers. The ability of clinicians to adequately diagnose, treat, and monitor these patients is also hindered. This article identifies key communication barriers and strategies that clinicians can use to effectively communicate with these patients.
PMID: 22537697
ISSN: 1558-1381
CID: 5140992