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| New
York Academic
Minerva Web
Journal |
| January
2007 Volume 7
Number 01 |
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Paper
0701:
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Papillary
Fibroelastoma
on Multiple
Valves. A Case
Report.
L. Gekhman, DO
and Z. Tasneem,
MD
Wyckoff
Medical Center
FMRP,
Brooklyn, NY.
Abstract:
Papillary
Fibroelastoma
is a rare
primary
endocardial
tumor,
representing
about 10% of
all primary
cardiac
tumors. It is
the third most
common cardiac
tumor after
myxomas and
lipomas, but
it remains the
commonest
tumor of
valvular
endothelium. These
tumors are
usually
detected
incidentally
during
echocardiography,
cardiac
catheterization,
cardiac
surgery and in
fact more
commonly at
autopsy. In-vivo
diagnosis has
improved
tremendously
due to the
increased use
of
trans-thoracic
and
trans-esophageal
echocardiograms.
Grossly
resembling
pom-poms or
sea anemones
in structure,
these tumors
are most often
found singly
on the mitral
or aortic
valves; rarely
affecting the
right sided
valves. Whether
they represent
true neoplasm
or reactive
tumorous
growth is
still unclear. Embolization
of tumor
fragments may
cause angina,
myocardial
infarction,
transient
ischemic
attacks and
strokes, while
prolapse of
the tumor into
the coronary
ostia may
cause sudden
cardiac death. Consequently,
surgical
excision with
or without
valve repair
or replacement
has become the
standard
treatment for
this benign
tumor. As
emphasized
earlier,
fibroelastomas
are almost
always found
as a single
growth, there
are very few
case reports
of multiple
tumors on a
single valve
or of tumors
involving two
valves. We
report, to the
best of our
knowledge, for
the first
time, a case
involving
three valves;
the mitral,
the aortic,
and the
tricuspid
valves.
NYAMWJ
2007
7:Abstract
0701
Presented
to the Sixth
BWAFP Research
Forum
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| Paper
0702: |
Anemia
in the
postpartum
M.
Kingra, MD, Z.
Velastegui, MD,
S. Fersobe, MD,
A. Hamaoui, MD,
and Mercado, DO
Lincoln Medical
and Mental
Health Center,
Bronx, NY.
NYAMWJ
2007 7:Abstract
0702
Presented
to the Sixth
BWAFP Research
Forum
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| Paper 0703:
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Prevalence of Abnormal Cervical Cytology in Patients
With Chlamydia Trachomatis
Nonyelu Anyichie MS, MD and Saadia Fersobe MD
Lincoln Medical & Mental Health Center,
Bronx, NY.
BACKGROUND:
Pap smear is a well-known screening tool in the early detection and prevention
of
cervical cancer. Studies worldwide have shown that cytology-screening programs
for carcinoma of the cervix reduce the mortality of the population screened.
Chlamydia infected patients have more abnormal PAP smears than their
counterparts who were not infected. Reyes,
Maldonado and Pavonian in 2003 observed that inflammatory PAP smears (mild and
moderate dysplasia) were more predominant in patients infected with Chlamydia
trachomatis.
OBJECTIVE:
The objective of this study is to determine if the incidence of abnormal
cervical cytology is higher in patients positive for Chlamydia trachomatis on
cervical swabs.
MATERIALS AND METHODS:
A retrospective chart review of 650 nonpregnant patients that undergone
cervical cytology collection at the Woman Clinic at Lincoln Medical and Mental
Health Center from year 2000 to 2004.
Inclusion Criteria: Age 14-45 years old, Non-pregnant patient
Exclusion Criteria: HIV positive patients, Major co-morbid condition, Patients
with IUD (intra uterine device), and Drug Abusers
Chlamydia and Neisseria were tested using the Gen-probe PACE 2-C System for C.
Trachomatis and N. gonorrhea. The
Gen probe has 90% sensitivity and 90% specificity for C. Trachomatis. The Pap
smear was taken by spatula and cyto brush that yielded a 60 % sensitivity. Pap
smears of participants were reviewed and grouped into 3 majors categories.
Normal Pap smear; Benign Cellular Change PAP smear: including Reactive PAP smears, inflammatory, bcc [benign
cellular change], coccabacilli and Candida; and Atypical Cellular Change (Precancerous
lesions). Statistical analysis was done using the chi-square and the student
t-test.
RESULTS:
Out of the sample of 650 of the patients tested for Chlamydia: 360 were
infected by C. trachomatis and 290 were not infected.
Normal Pap Smear was reported in 323 patients, 2/3 of patients were CT
negative, and 1/3-of patients were CT positive. 272 patients had Benign Cellular Change, from those, 200
patients were infected by C. trachomatis and 72 patients were not.
The sample showed 55 patients with atypical cellular change, 45 patients
infected and 10 patients not infected.
CONCLUSION:
There is a positive relationship among cervical infection by Chlamydia
Trachomatis and Atypical Cellular changes on Pap smear.
NYAMWJ
2007 7:Abstract
0703
Presented to
the Sixth BWAFP
Research Forum
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Paper 0704:
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A
Pilot Study to Further Examine the Relationship Between Smoking and Depression
Ingrid Veiss, MD.
Department of Family Practice, Jamaica Hospital, Queens, NY.
Background: Several epidemiological studies have
reported an association between smoking and Major Depressive Disorder (MDD).
Smokers with a history of MDD are prone to early relapse when they attempt to
quit, compared with smokers without a history of MDD.
Objective: To determine if
the reasons provided for smoking or relapse following an attempt to quit are
different between cigarette smokers with MDD and those without a psychiatric
diagnosis.
Methods: Cigarette smokers diagnosed with MDD were recruited from a
Mental Health Outpatient Clinic, while those without a psychiatric diagnosis
were recruited from a Family Practice Center. A patient-reported, standardized
questionnaire was used to obtain details on smoking history, reasons for
smoking, and number of attempts and reasons to quit. Participants were also
required to complete a Beck Depression Inventory (BDI-II) Form. Statistical
analyses were conducted using Microsoft Excel.
Results: Cigarette smokers diagnosed
with MDD (n = 35 [63% female]) and those without a diagnosed psychiatric
disorder (n = 35 [54% female]) were randomly selected to participate in a
community-based survey. The majority of the participants with MDD and those
without a psychiatric diagnosis were between 21 yrs and 65 yrs of age (n = 34
and n = 30, respectively). For both study groups, smoking was primarily
initiated before 18 yrs of age. A total of 57% of patients with MDD currently
smoked <1 pack/day, 26% smoked 1 pack/day, and 17% smoked >1 pack/day. Of
those without a psychiatric diagnosis, 63% currently smoked <1 pack/day, 31%
smoked 1 pack/day, and 6% smoked >1 pack/day. BDI-II scores revealed that
those patients with MDD were significantly more depressed than those without a
psychiatric diagnosis (P <0.001).
Patients with MDD, when compared with those without a psychiatric diagnosis,
were significantly more likely to smoke in order to improve their feelings of
depression (P <0.05), and were
significantly more likely to smoke due to outside influences including social
interaction, and a family history of smoking (P <0.05). Significantly more patients with MDD (n = 15) indicated
that they relapsed following an attempt to quit as they needed to calm their
nerves, compared with those without a psychiatric diagnosis (n = 6, P
<0.05).
Conclusions: This pilot study
indicates that patients with MDD smoke in an attempt to alleviate feelings of
depression and anxiety. These feelings may also be primarily responsible for
failed attempts to quit. Larger, controlled studies should be conducted to
confirm these findings, and potentially determine if antidepressants may aid in
smoking cessation.
NYAMWJ
2007 7:Abstract
0704
Presented to
the Sixth BWAFP
Research Forum
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Paper 0705:
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Angio-immunoblastic
Lymphoma Presenting as Pyrexia of Unknown Origin
Anitha L
Mullangi, MD and Purnima Garg, MD
Bronx-Lebanon Family Medicine Residency Program
Abstract:
Angioimmunoblastic Lymphoma or Angioimmunoblastic Lymphadenopathy
with Dysproteinemia (AIL) is an aggressive T cell Lymphoma. It can present in a
variety of clinical manifestations. Here we present a case of AIL who presented
with low grade fever, pain in the joints and progressive weakness for 1 year.
The case posed a diagnostic challenge as the patient presented with only
palpable axillary Lymph nodes without evidence of hepatosplenomegaly. We discuss
our diagnostic algorithm and review the pertinent literature.
NYAMWJ
2007 7:Abstract
0705
Presented to
the Sixth BWAFP
Research Forum
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Paper 0706:
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New
perspectives for Risk Factors and conditions for induction of Labor.
K. Hashimoto,
MD and R. Mercado, DO
Lincoln Medical & Mental Health Center,
Bronx, NY.
Abstract:
Induction
of labor is still a major challenge in Obstetrics. Successful outcome, i.e.,
vaginal delivery, may be best predicted by the classical cervical Bishop Score,
however, it is most difficult to induce labor with unfavorable cervix or low
Bishop scores. Placing intravaginal dinoprostone is currently one of the most
popular methods of cervical maturation used in this situation in this country.
However, many of them take more than one day for maturation of the cervix and
result in Cesarean section due to failed induction.
The prospective study currently under way is to review and identify
parameters conditions leading to early identification of whether induced
labor.is the better option.
NYAMWJ
2007 7:Abstract
0706
Presented to
the Sixth BWAFP
Research Forum
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Paper 0707:
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New
ways to build upon strong family Medicine principles: The Chronic Care Model..
B. Napolitano,
MD
SUNY Stony Brook Family Medicine
Residency Program
NYAMWJ
2007 7:Abstract
0707
Presented to
the Sixth BWAFP
Research Forum
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