Nassau University Medical Center (NUMC) is a public teaching hospital affiliated with the Health Sciences Center of Stony Brook University and with Northwell Health. The 19 story, 631 bed Level I Trauma Center is located at 2201 Hempstead Turnpike, East Meadow, NY.The mission of Nassau University Medical Center is to provide comprehensive high quality health care services to Nassau County residents regardless of their ability to pay. It is organized as a New York state public-benefit corporation under the name, Nassau Health Care Corporation.
Misconceptions about pelvic organ prolapse occur among Hispanic women. We develop and validate a novel scale measuring misconceptions about pelvic organ prolapse (POP) among Hispanic women. A cross-sectional survey of 406 Hispanic women was conducted. Participants completed 11 items about POP misconceptions, the Prolapse and Incontinence Knowledge Questionnaire (PIKQ-POP), and the Short Acculturation Scale for Hispanics (SASH). Principal component analysis was used. The Pelvic Organ Prolapse Misconceptions Scale (POPMS) had two subscales: personal habits and sequelae (PHS) and treatment approaches (TA), with high internal reliability (KR-20 = 0.90 and 0.81, respectively). The POPMS PHS and TA subscales were each positively correlated (both r = 0.25, p < 0.001) with general POP knowledge of the PIKQ-POP. College-educated women had higher mean scores on the PHS (p < 0.001) and TA (p = 0.01) than those not college educated. The correlations and mean scores indicate acceptable criterion validity. Misconceptions were common: 44
Background Dermatopolymyositis (DPM) is an autoimmune disease that primarily affects the skin and muscles, but it can also involve internal organs, including the heart. Cardiac involvement in DPM is of particular concern, as it may lead to complications such as myocarditis, arrhythmias, and ultimately heart failure (HF). While DPM is traditionally associated with muscle weakness and skin rashes, its impact on inpatient outcomes for patients admitted with heart failure has been insufficiently studied. The presence of dermatopolymyositis in HF patients may exacerbate clinical outcomes, potentially increasing length of stay, mortality, and hospital charges. This study aims to evaluate the in-hospital outcomes of patients with heart failure who also have DPM, with a specific focus on mortality rates and other key clinical outcomes. Methods This retrospective cohort study analyzed data from the U.S. National Inpatient Sample Database (2018-2022) to identify patients hospitalized with heart failure using ICD-10 codes. The cohort was divided into two groups: those with and without a diagnosis of dermatopolymyositis (DPM). In-hospital outcomes, including mortality, cardiac arrest, use of pressors, cardiogenic shock, total charges (TOTCHG), and length of stay (LOS), were analyzed using a multivariate regression model adjusted for demographic and comorbidity variables. Results Among 6,074,232 patients hospitalized for heart failure, 0.045% (N=2,750) had dermatopolymyositis (DPM). DPM patients are younger (mean age 65.77 years vs. 70.86 years, p < 0.000) and have a higher proportion of females (67.09% vs. 52.96%) and Black patients (35.54% vs. 21.72%). They also exhibit more severe comorbidities (Charlson comorbidity index, p = 0.000). Concomitant DPM in hospitalized HF patients significantly increases mortality risk (OR = 2.13, 95% CI: 1.46-3.11, p = 0.000). Each one-year increase in age raises mortality risk by 2.63% (OR = 1.03, p = 0.000). Females have lower mortality odds (OR = 0.88, p = 0.000), while Black patients have slightly lower odds (OR = 0.92, p = 0.000). The Charlson comorbidity index increases mortality risk (OR = 1.11, p = 0.000). Diabetes (OR = 0.69, p = 0.000), smoking (OR = 0.61, p = 0.000), obesity (OR = 0.72, p = 0.000), CKD (OR = 0.82, p = 0.000), and ESRD (OR = 1.80, p = 0.000) also affect mortality, with AKI strongly increasing risk (OR = 3.37, p = 0.000). Concomitant DPM in hospitalized HF patients imparts a longer length of stay (LOS) (6.72 days vs. 5.64 days, p = 0.043) and higher total charges ($83,794 vs. $63,521, p = 0.051).Concomitant DPM in hospitalized HF patients increases the odds of cardiac arrest (OR = 2.06, p = 0.030), cardiogenic shock (OR = 2.06, p = 0.030), and using pressors (OR = 2.28, p = 0.002). Conclusion In conclusion, patients with dermatomyositis (DPM) hospitalized for heart failure are generally younger, have a higher proportion of females and Black individuals, and exhibit more severe comorbidities compared to those without DPM. Concomitant DPM in hospitalized HF patients significantly increases the risk of mortality, with age, gender, race, and comorbidity burden further influencing mortality outcomes.
Study Objective:Emergency airway management (EAM) is a core competency in emergency medicine (EM), yet no standardized national curriculum exists for EM residency training. The Accreditation Council for Graduate Medical Education (ACGME) currently mandates only 35 endotracheal intubations (ETIs) for graduation, which represents a narrow component of EAM. We sought to define a comprehensive, consensus-based list of EAM competencies for all graduating EM residents. Methods:We conducted a modified Delphi study to identify essential EAM competencies. An initial list of topics was developed through a structured PubMed literature search, review of existing educational frameworks, and input from EM airway educators. Thirteen national experts in emergency airway management and education participated in iterative rounds of electronic surveys to rate and refine proposed competencies. Topics achieving > 80% agreement were included in the final list. Descriptive statistics were used to summarize agreement across rounds. Results:The first-round survey included 215 proposed topics spanning nine domains: principles of airway management, oxygen delivery, basic airway management, tracheal intubation, pharmacology, pediatric airway management, ventilator management, special clinical circumstances, and education. Consensus was achieved after two Delphi rounds and final included topics were narrowed to 148. Conclusion:Through a modified Delphi process, we developed a comprehensive, expert-derived list of EAM competencies for EM residency graduates. This framework provides a foundation for standardized, competency-based airway education and assessment in emergency medicine and may reduce variability across residency programs nationally and thus ensure preparedness for independent practice in one of the most critical skill domains in our discipline.
