Tantry U.S.,Sinai Hospital of Baltimore |
Kereiakes D.J.,Christ Hospital |
Gurbel P.A.,Sinai Hospital of Baltimore |
Gurbel P.A.,Sinai Center for Thrombosis Research
JACC: Cardiovascular Interventions | Year: 2011
Dual antiplatelet therapy with aspirin and clopidogrel is associated with a significant reduction in vascular ischemic events; however, gastrointestinal bleeding events are a major concern in high-risk and older patients. Clinical practice guidelines recommend combination therapy with proton pump inhibitors (PPI) and dual antiplatelet therapy to attenuate gastrointestinal bleeding risk. In addition, high on-treatment platelet reactivity has been associated with recurrent ischemic events. Whether or not the pharmacological interaction between clopidogrel and PPI, which results in diminished antiplatelet effect, adversely influences clinical efficacy is highly controversial and the subject of debate. Based on largely anecdotal post-hoc analyses, the U.S. Federal Drug Administration's and European Medicines Agency's recommendations discourage PPI use (particularly omeprazole) in patients treated with clopidogrel. However, many American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions experts do not support change in clinical practice guidelines recommendations without adequately powered, prospective, randomized clinical trial data. © 2011 American College of Cardiology Foundation.
News Article | December 1, 2016
Dr. Bikkina is Board Certified in Internal Medicine, Cardiology, and Interventional Cardiology. Heart & Vascular Associates of Northern Jersey provides care at nine locations in Northern New Jersey, their testing facilities are now affiliated with Christ Hospital as out-patient hospital testing facilities to provide their patients with state-of-the-art cardiac and vascular testing. Mahesh Bikkina, MD, MPH, FACC, FSVM, FSCAI trained at the following prestigious institutions: Their board certified Cardiologists specialize in a wide array of cardiology, interventional cardiology, vascular, and electrophysiology services. Cardiologists at Heart and Vascular Associates are attending physicians at St. Joseph’s Regional Medical Center with privileges at Valley Health System, Hackensack University Medical Center, Englewood Hospital and Medical Center and Christ Hospital. Heart and Vascular Associates is committed to providing the highest quality cardiac care in Northern New Jersey. They strive to optimize patient health through the prevention and treatment of cardiovascular disease, in a caring environment that ensures the health and well-being of every patient. The practice strives to be the cardiology and vascular practice of choice in Bergen and Passaic Counties. They offer the community of Northern New Jersey exceptional comprehensive care for the prevention, diagnosis and treatment of cardiovascular disease. The practice offers many services and procedures, including but not limited to: Dr. Bikkina is conveniently located in Bergen, NJ. For more information and locations, you can visit Dr. Bikkina’s full profile at http://www.njtopdocs.com/maheshbikkinamd. About Us NJ Top Docs is a comprehensive information resource of Top Doctors, Dentists and Hospitals. We are profiling over 900 Healthcare Providers and have made it convenient for you to find them. NJ Top Docs allows patients to “meet” these providers online before making their appointment. You can also follow us on Facebook – Twitter – YouTube
News Article | December 17, 2016
CINCINNATI (AP) — The surgeon who created the life-saving Heimlich maneuver for choking victims died early Saturday in Cincinnati. Dr. Henry Heimlich was 96. His son, Phil, said he died at Christ Hospital after suffering a heart attack earlier in the week. "My father was a great man who saved many lives," said Heimlich, an attorney and former Hamilton County commissioner. "He will be missed not only by his family but by all of humanity." Heimlich was director of surgery at Jewish Hospital in Cincinnati in 1974 when he devised the treatment for choking victims that made his name a household word. Rescuers using the procedure abruptly squeeze a victim's abdomen, pushing in and above the navel with the fist to create a flow of air from the lungs. That flow of air then can push objects out of the windpipe and prevent suffocation. Much of Heimlich's 2014 autobiography focuses on the maneuver, which involves thrusts to the abdomen that apply upward pressure on the diaphragm to create an air flow that forces food or other objects out of the windpipe. The Cincinnati chest surgeon told The Associated Press in a February 2014 interview that thousands of deaths reported annually from choking prompted him in 1972 to seek a solution. During the next two years, he led a team of researchers at Jewish Hospital in Cincinnati. He successfully tested the technique by putting a tube with a balloon at one end down an anesthetized dog's airway until it choked. He then used the maneuver to force the dog to expel the obstruction. The Wilmington, Delaware, native estimated the maneuver has saved the lives of thousands of choking victims in the United States alone. It earned him several awards and worldwide recognition. His name became a household word. The maneuver was adopted by public health authorities, airlines and restaurant associations, and Heimlich appeared on shows including the "The Tonight Show Starring Johnny Carson" and "The Today Show." His views on how the maneuver should be used and on other innovations he created or proposed put him at odds with some in the health field. He said his memoir was an effort to preserve his technique. "I know the maneuver saves lives, and I want it to be used and remembered," he told the AP. "I felt I had to have it down in print so the public will have the correct information." The maneuver has continued to make headlines. Clint Eastwood was attending a golf event in Monterey, California, in 2014 when the then-83-year-old actor saw the tournament director choking on a piece of cheese and successfully performed the technique. "The best thing about it is that it allows anyone to save a life," Heimlich told the AP. In 2016, Heimlich himself was the hero, saving a woman choking on food at his senior living center. Heimlich said the maneuver is very effective when used correctly, but he did not approve of American Red Cross guidelines calling for back blows followed by abdominal thrusts in choking cases that don't involve infants or unconscious victims. Red Cross officials said evidence shows using multiple methods can be more effective, but Heimlich said blows can drive obstructions deeper into a windpipe. The American Heart Association backs abdominal thrusts. Neither organization supports Heimlich's view that using the maneuver to remove water from the lungs could save drowning victims. They recommend CPR. Heimlich was proud of some of his other innovations, such as a chest drain valve credited by some with saving soldiers and civilians during the Vietnam War. But he drew sharp criticism for his theory that injecting patients with a curable form of malaria could trigger immunity in patients with the HIV virus that causes AIDS. Medical experts have said injecting patients with malaria would be dangerous and have criticized Heimlich for conducting studies involving malariotherapy on HIV patients in China. "I'll be the first to admit that a number of my ideas are controversial and in some ways unorthodox," Heimlich told the AP. "But I have enough guts to know that when I am right, it will come about as the thing to do, even if others do the wrong thing for a time." One of his most vocal critics has been his son, Peter Heimlich. The younger Heimlich split with his father years ago over a personal rift. He initially circulated anonymous criticisms of his father before openly speaking out against him online and in media interviews.
Snyder M.E.,Cincinnati Eye Institute |
Lindsell L.B.,Christ Hospital
Journal of Cataract and Refractive Surgery | Year: 2011
We describe a novel "hang-back" surgical approach for repairing an iridodialysis. Instead of repositioning the iris tightly to the sclera, the detached peripheral iris is suspended by a suture inside the normal iris insertion, reducing corectopia and avoiding inadvertent coverage of the trabecular meshwork by peripheral iris. A horizontal mattress suture is placed ab interno via a paracentesis site and tightened to bring the iris periphery to inside and under the limbus, as viewed from the frontal plane. This technique provides an excellent functional and cosmetic result. Financial Disclosure: Neither author has a financial or proprietary interest in any material or method mentioned. © 2011 ASCRS and ESCRS.
Sokol E.R.,Stanford University |
Karram M.M.,Christ Hospital |
Dmochowski R.,Vanderbilt University
Journal of Urology | Year: 2014
Purpose Bulkamid® is a new polyacrylamide hydrogel bulking agent for stress urinary incontinence that is injected in the urethral submucosa using a specifically designed device. We evaluated the safety and efficacy of Bulkamid vs Contigen® collagen gel for stress urinary incontinence or stress predominant mixed urinary incontinence. Materials and Methods This was a single-blind, randomized, prospective, 33-center, 2-arm parallel study of hydrogel vs collagen gel with followup to 1 year. At baseline patients underwent physical examination and bladder testing, and completed quality of life questionnaires and bladder diaries. After randomization patients could receive up to 3 injections at 1-month intervals. Patients were assessed 3, 6, 9 and 12 months after bulking. They completed bladder diaries and quality of life questionnaires, and pad weight was tested. At the last visit Valsalva leak point pressure was measured. Subjective and objective incontinence outcomes and adverse events were compared. Results Of the 345 women 229 were randomized to hydrogel and 116 were randomized to collagen gel. At 12 months a 50% or greater decrease in leakage and incontinence episodes was seen in 53.2% and 55.4% of patients who received hydrogel and collagen gel, respectively. At 12 months 47.2% of patients with hydrogel and 50% with collagen gel reported zero stress incontinence episodes, and 77.1% and 70%, respectively, considered themselves cured or improved. Major adverse events were rare in each group. Conclusions Bulkamid is not inferior to Contigen. It has a favorable, persistent effect on stress urinary incontinence with a low risk of serious adverse events. Bulkamid is a new, simple, office based bulking system that shows promise as a treatment in women with stress urinary incontinence, particularly since Contigen is no longer commercially available. © 2014 by American Urological Association Education and Research, Inc.
Ren X.,Harbin Medical University |
Ren X.,University of Cincinnati |
Laugel M.C.,Christ Hospital
CNS Neuroscience and Therapeutics | Year: 2013
Solid organ transplantations became a clinical option in the 1950s. The hand allograft was the pioneer of composite tissue allotransplantation (CTA), successfully started near the end of the last century despite arguments over the practicality and methods. Since then, CTA such as hand and face has continued to progress from the theoretical to clinical reality. The treatment principles, drug combinations, and mechanisms of the immunosuppression medications on which contemporary transplant surgeries have been based continue to develop as researchers and physicians gain more experience in the CTA field. It could be argued that the ethical issues associated with CTA have prevented evolution of the field rather than surgical or technical skill. This is particularly true for allo-head and body reconstruction (AHBR). How can leaders in the field of CTA develop a model that would satisfy ethical concerns? Bolstered by recent successes in the field, is it time to traverse the next frontier? Can AHBR ever be a feasible option in the clinical setting? The reader will be provided with a brief history of CTA from theory to research to clinical practice. A concise description of AHBR as it pertains to the critical procedure (i.e., surgery design) will also be discussed. © 2012 Blackwell Publishing Ltd.
Campbell D.,Christ Hospital
Dimensions of Critical Care Nursing | Year: 2013
Providing care to patients in critical care units generates stress. Helping the critical care nurse manage this stress can lead to better patient experiences and higher nursing retention. While providing holistic care to patients produces better outcomes, addressing the holistic needs of the caregiver must also be considered. Included in the holistic needs of the nurse is their spiritual well-being. A study that measures spiritual well-being, stress, and nursing retention is the focus of this review. © 2013 Lippincott Williams & Wilkins.
Karram M.,Christ Hospital |
Maher C.,Royal Brisbane and Wesley Urogynaecology
International Urogynecology Journal and Pelvic Floor Dysfunction | Year: 2013
Introduction and hypothesis: The aim was to review the safety and efficacy of surgery for posterior vaginal wall prolapse. Methods: Every 4 years and as part of the Fifth International Collaboration on Incontinence we reviewed the English-language scientific literature after searching PubMed, Medline, Cochrane library and Cochrane database of systematic reviews, published up to January 2012. Publications were classified as level 1 evidence (randomised controlled trials [RCT] or systematic reviews), level 2 (poor quality RCT, prospective cohort studies), level 3 (case series or retrospective studies) and level 4 (case reports). The highest level of evidence was utilised by the committee to make evidence-based recommendations based upon the Oxford grading system. Grade A recommendation usually depends on consistent level 1 evidence. Grade B recommendation usually depends on consistent level 2 and/or 3 studies, or "majority evidence" from RCTs. Grade C recommendation usually depends on level 4 studies or "majority evidenceâ€Ÿ from level 2/3 studies or Delphi processed expert opinion. Grade D "no recommendation possible" would be used where the evidence is inadequate or conflicting and when expert opinion is delivered without a formal analytical process, such as by Delphi. Results: Level 1 and 2 evidence suggest that midline plication posterior repair without levatorplasty might have superior objective outcomes compared with site-specific posterior reopair (grade B). Higher dyspareunia rates are reported when levatorplasty is employed (grade C). The transvaginal approach is superior to the transanal approach for repair of posterior wall prolapse (grade A). To date, no studies have shown any benefit of mesh overlay or augmentation of a suture repair for posterior vaginal wall prolapse (grade B). While modified abdominal sacrocolpopexy results have been reported, data on how these results would compare with traditional transvaginal repair of posterior vaginal wall prolapse are lacking. Conclusion: Midline fascial plication without levatorplasty is the procedure of choice for posterior compartment prolapse. No evidence supports the use of polypropylene mesh or biological graft in posterior vaginal compartment prolapse surgery. © 2013 ICUD-EAU.
News Article | December 20, 2016
Dr. Henry Heimlich, well-known for his invention Heimlich maneuver, a procedure that saved millions of lives, died at the age of 96. Heimlich passed away on Saturday, Dec. 17 at Christ Hospital in Cincinnati in Ohio. Heimlich lived in the Episcopal Retirement Services for years before his death. Bryan Reynolds, the spokesman for Episcopal said that the physician suffered severe complications from a heart attack he experienced on Monday, Dec. 12. Heimlich maneuver, which was originally called as subdiaphragmatic pressure by Heimlich was invented in 1972. The procedure which was explained by Heimlich in 1974 under the above name was renamed after him by the editors of the Journal of the American Medical Association for the fact that it saved a number of lives in just two months. Heimlich, who shared the naming secret to NPR back in 1999, noted that the name became famous enough to be added in foreign language dictionaries by 1980. The physician who invented the famous procedure is said to have saved an 87-year-old lady who choked a hamburger at the retirement home recently. The celebrities who used the live saving technique to save other people include Clint Eastwood, Justin Timberlake. On the other hand, celebrities that became the victims of choking were also saved by the mind-blowing technique. Cher, who choked on vitamin pills at the backstage of Broadway rehearsal, was saved with the procedure in 1982. Simon Cowell who choked on mint was given a rebirth in 2014. Interestingly, one of the famous politicians who was saved of this technique was Ronald Reagan. It is reported that if Heimlich maneuver wasn't existing Reagan wouldn't have made it as a President. In 1976, when Reagan was still a presidential candidate, he choked on peanuts while drinking coke. When Reagan's face turned red, Mike Deaver, his campaign aide grabbed the former governor of California from behind and gave him the Heimlich maneuver. The president spit out the peanuts on the second thrust and came back to life. Ed Koch, the former mayor of New York, who became the victim of choking in Chinatown restaurant, was also saved in 1981 with Heimlich maneuver. "Dad was firm in his convictions and passionate for his causes. He didn't play politics well. Instead, he was single-minded in his quest to find better ways to save lives. Dad dreamed that anything was possible in the field of medicine, even when critics said otherwise," shared Heimlich's family on his death, reported KTOO. © 2017 Tech Times, All rights reserved. Do not reproduce without permission.
News Article | December 17, 2016
CINCINNATI, Dec. 17, 2016 /PRNewswire-USNewswire/ -- Dr. Henry Heimlich, 96, passed away last night at Christ Hospital in Cincinnati, after complications from a massive heart attack suffered on Monday in his home at Deupree House in the Hyde Park neighborhood of Cincinnati, Ohio. Deupree...