New York Medical College (NYMC or New York Med) is a private biomedical health sciences university based in Valhalla, New York. Founded in 1860, it is a member of the Touro College and University System.NYMC offers advanced degrees through its three schools: the School of Medicine (SOM), the Graduate School of Basic Medical Sciences (GSBMS) and the School of Health Sciences and Practice (SHSP). Total enrollment is 1,660 students (including 774 medical students) in addition to 800 residents and clinical fellows. NYMC employs 1,350 full-time faculty members and 1,450 part-time and voluntary faculty. The university has more than 12,000 alumni active in medical practice, healthcare administration, public health, teaching and research.Part of the Touro College and University System since 2011, New York Medical College is located on a shared suburban 600-acre campus with its academic medical center, Westchester Medical Center (WMC) and the Maria Fareri Children's Hospital. Many of NYMC's faculty provide patient care, teach, and conduct research at WMC. New York Medical College's university hospital, Metropolitan Hospital Center, in the Upper East side neighborhood of Yorkville and East Harlem in Manhattan, has been affiliated with NYMC since it was founded in 1875, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is part of the New York City Health and Hospitals Corporation (HHC), the largest municipal hospital and healthcare system in the country.With a network of 20+ affiliated hospitals in New York, New Jersey, Connecticut and West Virginia, NYMC's hospital affiliations include large urban medical centers, small suburban clinics, rural medical centers and high-tech regional tertiary care facilities, where medical students and residents are afforded a wide variety of clinical training opportunities.
This review aims to clarify the early-life risk and protective factors associated with Infantile Atopic Dermatitis (IAD)—an inflammatory skin condition that typically develops between birth and two years of age. The goal was to examine recent findings on maternal, environmental, and microbial influences on IAD. Prenatal and postpartum maternal probiotic use may reduce IAD risk, though no significant alterations in infants’ gut microbiota were found. Infants with IAD exhibit higher Clostridia levels, while Verrucomicrobia are more abundant in non-IAD cases. Breastmilk from the mother of affected infants contains higher arachidonic acid and lower eicosapentaenoic acid, whereas formula-feeding may lower IAD risk. Seasonal influences such as reduced sunlight or humidity are associated with higher susceptibility. Elevated skin biomarkers, including TARC/CCL17 and IL-8, have been observed in infants who later develop IAD. Early antibiotic exposure, particularly during the first trimester, also increases risk. IAD is multifactorial, involving genetics, environment, and skin barrier dysfunction. Understanding the interplay between the microbiome, maternal influences, and environmental exposures may guide future preventive approaches. Further research into non-pharmacologic and microbiome-targeted interventions is warranted to delay or prevent IAD onset.
Cardiogenic shock (CS) is a syndrome of low cardiac output associated with high inpatient morbidity and mortality. Studies have supported the early transfer of patients with CS from spoke sites to the nearest regional hub center, forming the basis for the "hub-and-spoke" model. Contemporary CS algorithms revolve around invasive hemodynamic monitoring and temporary mechanical circulatory support guided by a multidisciplinary CS team. However, these protocols have limited applicability to the majority of spoke sites due to the limitations of resources, equipment, and personnel, further contributing to inequities in CS care. In this review, we seek to provide a blueprint for a generalizable approach to CS, an algorithm for intrahospital care escalation based on CS severity, and an example protocol detailing stabilization and monitoring strategies, independent of multidisciplinary CS teams.
Non-Idiopathic scoliosis (NIS) patients reportedly have higher postoperative complication rates compared to those with adolescent idiopathic scoliosis (AIS). However, there are limited data on the prevalence of gastrointestinal (GI) complications postoperatively, and the preoperative indicators that may predict them. This study aimed to determine the incidence and risk factors of postoperative gastrointestinal (PG) complications after neuromuscular/syndromic scoliosis corrective surgery. 163 NIS patients underwent spine deformity corrective procedure between 2005 and 2020. Radiographic, surgical, and clinical data were assessed. Patients were stratified based on postoperative GI complication status (PG vs. NPG) and ambulatory status (AMB vs. NAMB, based on GMFCS levels). Clavien–Dindo–Sink classification system was used to separate surgical complications based on severity. Wilcoxon-Rank Sum, Fisher’s Exact, Chi-square, and McNemar’s tests were utilized. Multivariable logistic regression was conducted. Matched analysis between NIS and AIS patients was conducted with 13 + levels fused. There were 163 patients; 40 (24.5
Although elevated depression rates have been reported among medical students and individuals with disabilities independently, no study has simultaneously assessed depression risk in medical students with disabilities (SWD) using a validated screening tool. This study aimed to compare depression risk in SWDs to peers without disabilities using the Patient Health Questionnaire-2 (PHQ-2). A multi-institutional, cross-sectional survey was conducted in fall 2020 across seven allopathic medical schools in the U.S. and Canada. An anonymous Qualtrics survey asked medical students to complete the PHQ-2 and information about their disability status, both self-identified and registered with their institution’s disabilities office (IDO). Depression risk was categorized using a PHQ-2 score cutoff of ≥ 3. Chi-square tests and independent-sample t-tests were used to assess associations between disability status and PHQ-2 scores. Of 4,661 students invited, 1,800 (38.6
A 69-year-old woman with a recurrent skull-base meningioma developed recurrent hypothermia during rehabilitation, initially misattributed to infection. Episodes followed a circadian pattern and were associated with delirium, pancytopenia, and signs of central endocrine dysfunction. MRI showed a large meningioma compressing the hypothalamus with an intact corpus callosum. Infection and adrenal insufficiency were excluded. Hypothermia resolved with external warming, and pancytopenia normalized spontaneously. Subclinical hypothyroidism and central hypogonadism were noted, consistent with hypothalamic-pituitary axis involvement. These findings supported a diagnosis of acquired spontaneous periodic hypothermia (SPH) due to hypothalamic compression. This case illustrates that early recognition of SPH in patients with skull-base tumors can prevent misdiagnosis and guide appropriate supportive care and monitoring.
