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Keeping the team together: Transformation of an inpatient neurology service at an urban, multi-ethnic, safety net hospital in New York City during COVID-19

Lord, Aaron S; Lombardi, Nicole; Evans, Katherine; Deveaux, Dewi; Douglas, Elizabeth; Mansfield, Laura; Zakin, Elina; Jakubowska-Sadowska, Katarzyna; Grayson, Kammi; Omari, Mirza; Yaghi, Shadi; Humbert, Kelley; Sanger, Matt; Kim, Sun; Boffa, Michael; Szuchumacher, Mariana; Jongeling, Amy; Vazquez, Blanca; Berberi, Nisida; Kwon, Patrick; Locascio, Gianna; Chervinsky, Alexander; Frontera, Jennifer; Zhou, Ting; Kahn, D Ethan; Abou-Fayssal, Nada
The COVID-19 pandemic dramatically affected the operations of New York City hospitals during March and April of 2020. This article describes the transformation of a neurology division at a 450-bed tertiary care hospital in a multi-ethnic community in Brooklyn during this initial wave of COVID-19. In lieu of a mass redeployment of staff to internal medicine teams, we report a novel method for a neurology division to participate in a hospital's expansion of care for patients with COVID-19 while maintaining existing team structures and their inherent supervisory and interpersonal support mechanisms.
PMCID:7430288
PMID: 32877768
ISSN: 1872-6968
CID: 4583362

RECURRENT NON-TRAUMATIC RHABDOMYOLYSIS AS PRESENTATION OF CARNITINE PALMITOYLE DEFICIENCY II IN A 65-YEAR-OLD MAN [Meeting Abstract]

Granger, Andre; Zakin, Elina
ISI:000571222600096
ISSN: 0148-639x
CID: 5053432

CHARACTERISTICS AND OUTCOMES OF MYASTHENIA GRAVIS PATIENTS WITH COVID-19-A CASE SERIES [Meeting Abstract]

Kwon, P.; Granger, A.; Zakin, E.
ISI:000571222600226
ISSN: 0148-639x
CID: 5053462

WHEN YOU HEAR HOOFBEATS, THINK TWO ZEBRAS: THE DIAGNOSTIC VALUE OF NEUROMUSCULAR ULTRASOUND IN A PATIENT WITH CMT AND NF1 [Meeting Abstract]

Leavell, Yaowaree; Faktorovich, Svetlana; Zakin, Elina; Raynes, Hillary; Shin, Susan
ISI:000571222600023
ISSN: 0148-639x
CID: 5053442

Radiologic abnormalities in patients with neuropathy

Zakin, Elina; Shin, Susan C; Sander, Howard W
ORIGINAL:0015372
ISSN: n/a
CID: 5053482

Patent foramen ovale closure versus medical therapy for cryptogenic stroke: An updated systematic review and meta-analysis

Goel, Sunny; Patel, Shanti; Zakin, Elina; Pasam, Ravi Teja; Gotesman, Joseph; Malik, Bilal Ahmad; Ayzenberg, Sergey; Frankel, Robert; Shani, Jacob
OBJECTIVES/OBJECTIVE:The objective of this study was to compare safety and efficacy of patent foramen ovale (PFO) closure compared with medical therapy in patients with cryptogenic stroke (CS). BACKGROUND:The role of PFO closure in preventing recurrent stroke in patients with prior CS has been controversial. METHODS:We searched PubMed, EMBASE, the Cochrane Central Register of Controlled trials, and the clinical trial registry maintained at clinicaltrials.gov for randomized control trials that compared device closure with medical management and reported on subsequent stroke and adverse events. Event rates were compared using a forest plot of relative risk using a random-effects model assuming interstudy heterogeneity. RESULTS: = 27%, P = 0.002). The presence/absence of atrial septal aneurysm (P = 0.52) had no effect on the outcome. CONCLUSION/CONCLUSIONS:PFO closure is associated with a significant reduction in the risk of stroke compared to medical management. However, it causes an increased risk of atrial fibrillation.
PMCID:7136357
PMID: 32248916
ISSN: 2213-3763
CID: 4374352

Diabetic Neuropathy

Zakin, Elina; Abrams, Rory; Simpson, David M
Diabetes mellitus is becoming increasingly common worldwide. As this occurs, there will be an increase in the prevalence of known comorbidities from this disorder of glucose metabolism. One of the most disabling adverse comorbidities is diabetic neuropathy. The most common neuropathic manifestation is distal symmetric polyneuropathy, which can lead to sensory disturbances, including diminished protective sense, making patients prone to foot injuries. However, focal, multifocal, and autonomic neuropathies are also common. Diabetic nerve pain and Charcot osteoarthropathy are advanced neuropathic conditions that portend a severe deterioration in quality of life. To combat these symptoms, along with glycemic control and establishment of health care systems to educate and support patients with the complexities of diabetes, there are pharmacologic remedies to ameliorate the neurologic symptoms. Several guidelines and review boards generally recommend the use of tricyclic antidepressants, serotonin/norepinephrine-reuptake inhibitors, α-2-delta ligands, and anticonvulsants as medications to improve painful diabetic neuropathy and quality of life.
PMID: 31639839
ISSN: 1098-9021
CID: 4147312

Neuropathic pain

Chapter by: Zakin, Alina; Simpson, David M
in: Neurorehabilitation therapy and therapeutics by Nair, Krishanan Padmakumari Sivaraman; Gonzalez-Fernandez, Marlis; Panicker, Jalesh N (Eds)
New York, NY : Cambridge University Press, 2019
pp. 144-157
ISBN: 9781316886915
CID: 3799582

Paraneoplastic Neuromyelitis Optica Spectrum Disorder in a Patient With Endometrial Adenocarcinoma [Meeting Abstract]

Granger, Andre; Zakin, Elina
ISI:000475965900059
ISSN: 0028-3878
CID: 4028762

ELEVATED CREATINE KINASE IN PATIENTS WITH GUILLAIN-BARRE SYNDROME: A COMMON DISTRACTOR [Meeting Abstract]

Granger, Andre; Zakin, Elina
ISI:000480524300218
ISSN: 0148-639x
CID: 5053422