News Article | October 28, 2016
The International Association of HealthCare Professionals is pleased to welcome Martins A. Adeoye, MD, Psychiatrist, to their prestigious organization with his upcoming publication in The Leading Physicians of the World. He is a highly trained and qualified psychiatrist with a vast expertise in all facets of his work. Dr. Adeoye has been in practice for more than 24 years and is currently serving patients as a Psychiatrist at the Elemental Center For Personal Development. Furthermore, he is affiliated with the University of Illinois Hospital Medical Center, Edward Hospital, Advocate Christ Medical Center, the Little Company of Mary Hospital, and Linden Oaks Hospital. Dr. Adeoye gained his Medical Degree in 1992 from the University of Ibadan in Nigeria. After moving to the United States, an internship was completed at the University of Illinois. Dr. Adeoye remained at this University to complete his residency in Psychiatry, where he served as Chief Resident, followed by his fellowship in Child and Adolescent Psychiatry. Dr. Adeoye holds dual board certification in both Psychiatry and in Child and Adolescent Psychiatry, and is recognized as an expert in the management and treatment of autism and mood disorders. He maintains professional memberships with the American Psychiatric Association, the American Academy of Clinical Psychiatrists, and the Academy of Clinical and Applied Psychoanalysis. Dr. Adeoye attributes his success to being diligent and focused, with a desire to help people. When he is not working, he enjoys traveling and photography. Learn more about Dr. Adeoye by reading his upcoming publication in The Leading Physicians of the World. FindaTopDoc.com is a hub for all things medicine, featuring detailed descriptions of medical professionals across all areas of expertise, and information on thousands of healthcare topics. Each month, millions of patients use FindaTopDoc to find a doctor nearby and instantly book an appointment online or create a review. FindaTopDoc.com features each doctor’s full professional biography highlighting their achievements, experience, patient reviews and areas of expertise. A leading provider of valuable health information that helps empower patient and doctor alike, FindaTopDoc enables readers to live a happier and healthier life. For more information about FindaTopDoc, visit http://www.findatopdoc.com
Destree L.,Edward Hospital |
Vercellino M.,Edward Hospital |
Armstrong N.,Edward Hospital
Diabetes Spectrum | Year: 2017
Background: A formal evidence-based hypoglycemia protocol and treatment algorithm were developed to provide safe and effective management of hypoglycemia throughout the hospital and to support organization goals to achieve blood glucose control. However, rechecking blood glucose 15 minutes after treatment for hypoglycemia, as outlined in the protocol, was challenging for the nursing staff. Education was delivered several times, and hypoglycemia badge reference cards were provided to reinforce the protocol. Nursing staff observed that hypoglycemia treatment took several minutes, so the recheck was set at 15-30 minutes from the time hypoglycemia was identified. Audits and staff reeducation were performed, but compliance remained low. Objective: A pilot was conducted to compare two innovative interventions to improve adherence to the protocol. Methods: To improve timely rechecks, two different interventions were tested. The first required patient care technicians (PCTs) to remain in the patient's room for the full 15 minutes after treatment to perform the recheck. The second incorporated the use of timers to remind PCTs and nurses to perform the recheck. Results: The timer group had significantly higher compliance with hypoglycemia rechecks than the group staying in the patient's room (84 vs. 52%, P <0.0001). It is difficult for a PCT to remain in a patient's room for a full 15 minutes. Timers enabled nurses and PCTs to perform other tasks without missing the recheck time. After implementation, the hospital achieved 75% compliance with the recheck. Conclusion: This project demonstrated that the use of timers can be an effective and efficient way to remind busy hospital staff to recheck a patient's blood glucose after hypoglycemia treatment. © 2017 by the American Diabetes Association.
Carmody D.,University of Chicago |
Bell C.D.,University of Chicago |
Hwang J.L.,University of Chicago |
Dickens J.T.,University of Chicago |
And 8 more authors.
Journal of Clinical Endocrinology and Metabolism | Year: 2014
Context: Diabetes in neonates nearly always has a monogenic etiology. Earlier sulfonylurea therapy can improve glycemic control and potential neurodevelopmental outcomes in children with KCNJ11 or ABCC8 mutations, the most common gene causes. Objective: Assess the risks and benefits of initiating sulfonylurea therapy before genetic testing results become available. Design, Setting, and Patients: Observational retrospective study of subjects with neonatal diabetes within the University of Chicago Monogenic Diabetes Registry. Main Outcome Measures: Response to sulfonylurea (determined by whether insulin could be discontinued) and treatment side effects in those treated empirically. Results: A total of 154 subjects were diagnosed with diabetes before 6 months of age. A genetic diagnosis had been determined in 118 (77%), with 73 (47%) having a mutation in KCNJ11 or ABCC8. The median time from clinical diagnosis to genetic diagnosis was 10.4 weeks (range, 1.6 to 58.2 wk). In nine probands, an empiric sulfonylurea trial was initiated within 28 days of diabetes diagnosis. Agenetic cause was subsequently found in eight cases, and insulin was discontinued within 14 days of sulfonylurea initiation in all of these cases. Conclusions: Sulfonylurea therapy appears to be safe and often successful in neonatal diabetes patients before genetic testing results are available; however, larger numbers of cases must be studied. Given the potential beneficial effect on neurodevelopmental outcome, glycemic control, and the current barriers to expeditious acquisition of genetic testing, an empiric inpatient trial of sulfonylurea can be considered. However, obtaining a genetic diagnosis remains imperative to inform long-term management and prognosis. Copyright © 2014 by the Endocrine Society.
News Article | December 8, 2016
Officials said that several students attending Naperville North High School in Illinois got ill on Tuesday, Dec. 6 after eating gummy bears that were laced with a still unknown substance. Naperville District 203 Superintendent Dan Bridges said that they called the police and the fire departments to come to the school after more than a dozen students reported feeling sick on Tuesday morning. Officials of the school said that after ingesting the gummies, the students felt uncomfortable and experienced dizziness, dry mouth and fast heart rate, prompting the school to send them to Edward Hospital. "For safety precautions, they were transported to Edward to receive medical attention. Each student had varying degrees of discomfort and subsequent treatment was needed," Bridges said. Eleven students were still at the hospital on Tuesday afternoon but they were already in a stable condition. Two were already released from the hospital. Jennifer McNulty, the medical director for the Pediatric Emergency Department and Pediatrics at Edward Hospital, said on Wednesday, Dec. 7 that based on her observations and conversations with the students and given her medical expertise and other factors, she believed that the gummy bears were produced or laced with marijuana or marijuana oil and not alcohol or other foreign substances. She noted that in recent years, local residents had to deal with the increasing use of heroin and other narcotics. The police think that the students ingested the candies voluntarily but they are not sure if they were aware of about the presence of the substance in the gummy bears. The students also said that the gummy bears were eaten between periods. Ingesting drug-laced candies can be dangerous, particularly if they get eaten by very young kids. Unfortunately, it is not easy to spot gummy bears or candies tainted with foreign substances. It may help though to check the packaging of candies and other edible items. Make sure that the packaging of the candies has not been opened or tampered with before eating them. The candy's packaging may also indicate it contains marijuana. In October earlier this year, when kids went around the neighborhood asking for candies and treats, a parent became suspicious after finding a candy bar that had pictures of cannabis leaves on the wrapper. The candy bar eventually tested positive for marijuana. © 2017 Tech Times, All rights reserved. Do not reproduce without permission.
Shiou S.-R.,University of Chicago |
Yu Y.,University of Chicago |
Guo Y.,University of Chicago |
He S.-M.,Queen's University |
And 5 more authors.
PLoS ONE | Year: 2013
Balance among the complex interactions of the gut microbial community is important for intestinal health. Probiotic bacteria can improve bacterial balance and have been used to treat gastrointestinal diseases. Neonatal necrotizing enterocolitis (NEC) is a life-threatening inflammatory bowel disorder primarily affecting premature infants. NEC is associated with extensive inflammatory NF-κB signaling activation as well as intestinal barrier disruption. Clinical studies have shown that probiotic administration may protect against NEC, however there are safety concerns associated with the ingestion of large bacterial loads in preterm infants. Bacteria-free conditioned media (CM) from certain probiotic organisms have been shown to retain bioactivity including anti-inflammatory and cytoprotective properties without the risks of live organisms. We hypothesized that the CM from Lactobacillus acidophilus (La), Bifidobacterium infantis (Bi), and Lactobacillus plantarum (Lp), used separately or together would protect against NEC. A rodent model with intestinal injury similar to NEC was used to study the effect of CM from Lp, La/Bi, and La/Bi/Lp on the pathophysiology of NEC. All the CM suppressed NF-κB activation via preserved IκBα expression and this protected IκBα was associated with decreased liver activity of the proteasome, which is the degrading machinery for IκBα. These CM effects also caused decreases in intestinal production of the pro-inflammatory cytokine TNF-α, a downstream target of the NF-κB pathway. Combined La/Bi and La/Bi/Lp CM in addition protected intestinal barrier function by maintaining tight junction protein ZO-1 levels and localization at the tight junction. Double combined La/Bi CM significantly reduced intestinal injury incidence from 43% to 28% and triple combined La/Bi/Lp CM further reduced intestinal injury incidence to 20%. Thus, this study demonstrates different protective mechanisms and synergistic bioactivity of the CM from different organisms in ameliorating NEC-like intestinal injury in an animal model. © 2013 Shiou et al.
Everidge C.S.,Edward Hospital
Dimensions of Critical Care Nursing | Year: 2012
Donation after cardiac death has always presented ethical concerns among health care providers. As advanced practice nurses and critical care nurses, it is our responsibility to ensure that health care providers and families are educated about the process and that we remain advocates for the potential donors. This article reviews the donation after cardiac death process, provides a donation after cardiac death hypothetical case report and its outcome, and addresses the ethical concerns associated with donation after cardiac death from both opponents' and proponents' points of view. It will also discuss the benefits of obtaining a palliative care consult and the roles of the advanced practice nurse in the care of the potential donor. © 2012 Lippincott Williams & Wilkins.
Guiahi M.,Columbia University |
Goldman K.N.,Northwestern University |
McElhinney M.M.,Loyola University Chicago |
Olson C.G.,Loyola University |
Olson C.G.,Edward Hospital
Contraception | Year: 2010
Background: Given the need for a 90-day post-Essure hysterosalpingogram (HSG) to confirm proper tubal placement and occlusion, we examined the impact of dedicating a staff nurse to schedule HSG appointments, call with appointment reminders and track HSG compliance for patients who had Essure. Study Design: We performed a retrospective chart review for patients who underwent Essure sterilization between October 2003 and January 2009. We compared rates of HSG compliance and confirmed tubal occlusion for patients before February 2008 with rates after the protocol change occurred. Results: Seventy-eight percent of preintervention patients were compliant with at least one HSG following Essure placement compared to 90.9% in the post-intervention group (p value=.033). Tubal occlusion was confirmed by postprocedure HSGs for 123/173 patients (71.1%) in the preintervention group and 48/55 patients (87.3%) in the postintervention group. Patients followed by our staff after our protocol change were more likely to undergo post-Essure compliance (Odds ratio= 2.7, confidence interval = 1.2-7.1, p=.01). Conclusion: Dedicating a staff nurse to track patients' HSG follow-up as a multicheck system resulted in an improvement in HSG compliance and rates of confirmed tubal placement and occlusion. © 2010 Elsevier Inc. All rights reserved.
Bhagwandin S.B.,University of Illinois at Chicago |
Naffouje S.,University of Illinois at Chicago |
Salti G.,University of Illinois at Chicago |
Salti G.,Edward Hospital
Journal of Surgical Oncology | Year: 2015
Introduction: Peritoneal surface malignancy is increasingly treated with cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC). This is associated with potentially high morbidity. We analyzed the incidence of delayed major complications following CRS plus HIPEC. Methods: Delayed events were chosen as those which occurred after discharge from the hospital following CRS plus HIPEC and prior to 90 days. Major complications included any adverse event requiring intervention or intensive care unit admission. Results: One hundred thirty six patients underwent 140 procedures. Eight patients (5.7%) developed delayed major complications. Complications were pancreatic pseudocyst/pancreatitis (n=3), abdominal wall dehiscence (n=2), gastric perforation (n=1), and ureteral stricture with associated hydronephrosis (n=2). All of the patients had undergone multivisceral resections. Seven patients achieved complete cytoreduction (cc≥1). Mean peritoneal carcinomatosis index (PCI) was 15.25±5.33 (6-22). Standard of care was met for the management of all the complications and all patients recovered following intervention without any further morbidity or mortality. Conclusion: There is a lack of report of the delayed major complications in patients undergoing CRS plus HIPEC in the literature. Awareness should be raised among health care providers regarding possible occurrence of such late complications given that many patients undergo CRS plus HIPEC remotely from their localities. © 2014 Wiley Periodicals, Inc.
Soltanolkotabi M.,Northwestern University |
Ansar S.A.,Northwestern University |
Shaibani A.,Northwestern University |
Singer T.B.,Edward Hospital |
Hurley M.C.,Northwestern University
Interventional Neuroradiology | Year: 2011
Post-partum cervicocephalic artery dissection (pp-CAD) is a rare and poorly understood condition. To our knowledge, only 21 cases have been reported. Reversible cerebral segmental vasoconstriction (RCSV) was first described by Call and Fleming in 1988, and its association with pp-CAD has only been reported in three cases. However, in those cases it is unclear whether the pp-CAD may have been caused by straining during labor and therefore merely co-incidental to the intracranial arteriopathy. We describe a 41-year-old right-handed African-American woman who developed the syndrome of pp-CAD (headaches, trace subarachnoid hemorrhage and diffuse cerebral arteriopathy on angiogram) two weeks after delivery. In this unique case, the patient had fortuitously undergone an MR study twice over a four day period which included the carotid bifurcations. During that time the patient was an inpatient, on bed rest and subject to continuous cardiac monitoring. The interval studies documented a true spontaneous right internal carotid artery dissection occurring without obvious cause. The patient had noted moderate right neck pain developing between the two MR studies but experienced no neurological deficits. Subsequent conventional angiography confirmed the presence of postpartum cerebral arteriopathy and the cervical dissection. The patient was managed conservatively with antiplatelet medication and had an other-wise uneventful course. We hypothesize whether transient arterial wall abnormalities, postpartum hormonal changes or subtle connective tissue aberrations play a similar role in the pathogenesis of these two associated conditions.
Gifford J.,Edward Hospital |
Larimer K.,DePaul University |
Thomas C.,Edward Hospital |
May P.,Advocate Good Samaritan Hospital |
And 2 more authors.
PACE - Pacing and Clinical Electrophysiology | Year: 2014
Conclusion A magnet protocol simplifies perioperative ICD management for procedures using electrocautery more than 6 inches from the ICD. This protocol results in significantly shorter time with ICD therapy off, fewer provider handoffs, no risk of inadvertently discharging patients home with ICD therapies off, and no device reset.Background There are insufficient data to guide perioperative implantable cardioverter-defibrillator (ICD) management for patients undergoing surgical procedures using electrocautery.Methods We conducted a multicenter randomized controlled trial of patients with ICDs undergoing surgery with monopolar electrocautery. Subjects were randomized to an "Off" group (ICD therapy programmed off, then postoperatively programmed on) or a "Magnet" group (ICD therapy suspended with a magnet and no immediate postoperative ICD interrogation). Also, a registry was maintained of ICD patients with procedures within 6 inches of the ICD (all programmed off). The primary endpoint was ICD off time with secondary endpoints being caregiver handoffs and incidence of electromagnetic interference (EMI).Results All patients (n = 80) had pectoral ICDs. Subject demographics were well matched in each group, and duration of electrocautery was similar (80 minutes vs 64 minutes, P = 0.58). The mean "excess" ICD off time (ICD off time - electrocautery time) was significantly higher in the Off group than the Magnet group (115 minutes vs 28 minutes, P < 0.001). Mean number of caregiver handoffs were higher in the Off group (6.6 vs 5.5, P < 0.001). There was no EMI in any lower abdominal or lower extremity procedures. Neither group had arrhythmic events or device reset. ©2014 Wiley Periodicals, Inc.