Charity Medical Center

Cleveland, OH, United States

Charity Medical Center

Cleveland, OH, United States

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Khouzam R.N.,University of Tennessee Health Science Center | Soufi M.K.,Charity Medical Center | Nakhla R.,Cairo University | Naidu S.S.,Winthrop University
Journal of Invasive Cardiology | Year: 2014

In the context of the rising health-care costs in the United States and the fact that approximately 1 million percutaneous coronary intervention (PCI) procedures are performed in the United States annually with a cost approaching $10 billion, reducing the cost associated with this frequently performed effective procedure has become paramount. Government and insurance-based methods have focused upon appropriate utilization and, in some cases, payment has been denied for procedures deemed inappropriate. While curtailing procedures may sometimes be reasonable, this approach is fraught with trouble, as individualized patient care does not fit neatly into population-based concepts of appropriateness. Therefore, alternative means to minimize expenditures should be entertained. Chief among these is the potential to reduce costs associated with PCI from prolonged inpatient stays for a procedure that, thankfully, has become significantly safer as it has maintained its efficacy. In this position paper, we discuss the theme of same-day discharge versus overnight stay after PCI as a cost-saving strategy, and pinpoint some criteria that can help to guide such a decision while preserving maximal patient safety and both patient and physician satisfaction.


Wu S.,Charity Medical Center | Fischer L.,Charity Medical Center | Gokbuget N.,Goethe University Frankfurt | Schwartz S.,Charity Medical Center | And 7 more authors.
Cancer | Year: 2010

BACKGROUND: Interleukin-15 (IL-15) has been associated with the growth, survival and biological behavior of leukemic cells and response to therapy.We determined the expression of IL-15 in lymphoblasts and evaluated its potential impact on the outcome in adult acute lymphoblastic leukemia (ALL). METHODS: Between June 1999 and June 2006, ALL samples were collected from 87 adult patients before initiation of antineoplastic therapy. These patients were enrolled in the German Multicenter Acute Lymphoblastic Leukemia June 1999 and July 2003 study trials. The expression of IL-15 in leukemic cells was analyzed by real-time polymerase chain reaction. RESULTS: The expression of IL-15 correlated with the immunophenotype: T-lineage ALL had a more than 4-fold higher IL-15 mRNA expression as compared with B-cell precursor (BCP)-ALL (P < .001). Patients with BCR-ABL+-BCP-ALL had lower IL-15 expression compared with BCR-ABL--BCP-ALL (P = .041). Furthermore, higher expression of IL-15 was associated with mediastinal (P = .001) and lymph node infiltration (P = .051), but not with hepatomegaly and splenomegaly. Notably, high IL-15 expression in BCP-ALL was associated with an inferior relapse-free survival (RFS) at 5 years (0.17 ± 0.13 vs 0.47 ± 0.13) (P = .008), but there was no impact on overall survival (P = .249). CONCLUSIONS: Differential expression of IL-15 in adult ALL at diagnosis was associated with clinical features and outcome, in particular, RFS. It remains to be evaluated whether IL-15 might be a relevant therapy target, or might be used for risk stratification. © 2010 American Cancer Society.


PubMed | Charity Medical Center
Type: Journal Article | Journal: Cancer | Year: 2010

Interleukin-15 (IL-15) has been associated with the growth, survival and biological behavior of leukemic cells and response to therapy. We determined the expression of IL-15 in lymphoblasts and evaluated its potential impact on the outcome in adult acute lymphoblastic leukemia (ALL).Between June 1999 and June 2006, ALL samples were collected from 87 adult patients before initiation of antineoplastic therapy. These patients were enrolled in the German Multicenter Acute Lymphoblastic Leukemia June 1999 and July 2003 study trials. The expression of IL-15 in leukemic cells was analyzed by real-time polymerase chain reaction.The expression of IL-15 correlated with the immunophenotype: T-lineage ALL had a more than 4-fold higher IL-15 mRNA expression as compared with B-cell precursor (BCP)-ALL (P < .001). Patients with BCR-ABL(+)-BCP-ALL had lower IL-15 expression compared with BCR-ABL(-)-BCP-ALL (P = .041). Furthermore, higher expression of IL-15 was associated with mediastinal (P = .001) and lymph node infiltration (P = .051), but not with hepatomegaly and splenomegaly. Notably, high IL-15 expression in BCP-ALL was associated with an inferior relapse-free survival (RFS) at 5 years (0.17 +/- 0.13 vs 0.47 +/- 0.13) (P = .008), but there was no impact on overall survival (P = .249).Differential expression of IL-15 in adult ALL at diagnosis was associated with clinical features and outcome, in particular, RFS. It remains to be evaluated whether IL-15 might be a relevant therapy target, or might be used for risk stratification.


With an upcoming publication in the Worldwide Leaders in Healthcare, Rachel M. Krakora, RN-BC, joins the prestigious ranks of the International Nurses Association. Rachel is a Registered Nurse with five years of experience in her field and an extensive expertise in all facets of nursing, especially psychiatric nursing. Rachel is currently serving patients as Intake Coordinator at St. Vincent Charity Medical Center in Cleveland, Ohio. Furthermore, she is also a Staff Registered Nurse at Highland Springs Behavioral Health Hospital in Highland Heights, Ohio. Rachel graduated with her Associate of Science Degree in Nursing in 2011 from Bryant & Stratton College in Parma, Ohio. An advocate for continuing education, she is currently pursuing her Bachelor of Science Degree in Nursing from Cleveland State University School of Nursing, which she is expected to complete in 2017. Rachel is board certified in Mental Health by the American Nurses Credentialing Center, and is dedicated to the world of mental health. Rachel’s goal is to build a place that people with mental illness can call home, and know they are cared for. She feels that being a psychiatric nurse is a one of kind, ever changing career, and there is always more for her to learn. Rachel attributes her success in the field to having strong co-workers and learning from her parents, Lou and Renee, who were wonderful role models. When she is not assisting patients, Rachel dedicates her free time to arts, reading, and spending time with her loving husband, Chris, and adorable dogs. Learn more about Rachel M. Krakora here: http://inanurse.org/network/index.php?do=/4133978/info/ and be sure to read her upcoming publication in the Worldwide Leaders in Healthcare.

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