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Levy Library Blog

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03/31/2021
Angelyn Thornton
No Subjects

 

Each month Levy Library showcases the achievements of Mount Sinai faculty and researchers by highlighting an article and its altmetrics. Altmetrics are alternative measures of impact that capture non-traditional data like abstract views, article downloads, and social media activity. Our altmetrics data is provided by the PlumX platform

This month we highlight Risk Factors for Mortality in Patients with COVID-19 in New York City. This article was written in part by Daniel I. Steinberg, MD and Evan Siau, MD.

 


 

Background

New York City emerged as an epicenter of the coronavirus disease 2019 (COVID-19) pandemic.

 

Objective

To describe the clinical characteristics and risk factors associated with mortality in a large patient population in the USA.

 

Design

Retrospective cohort study.

 

Participants

6493 patients who had laboratory-confirmed COVID-19 with clinical outcomes between March 13 and April 17, 2020, who were seen in one of the 8 hospitals and/or over 400 ambulatory practices in the New York City metropolitan area MAIN MEASURES: Clinical characteristics and risk factors associated with in-hospital mortality.

 

Key results

A total of 858 of 6493 (13.2%) patients in our total cohort died: 52/2785 (1.9%) ambulatory patients and 806/3708 (21.7%) hospitalized patients. Cox proportional hazard regression modeling showed an increased risk of in-hospital mortality associated with age older than 50 years (hazard ratio [HR] 2.34, CI 1.47-3.71), systolic blood pressure less than 90 mmHg (HR 1.38, CI 1.06-1.80), a respiratory rate greater than 24 per min (HR 1.43, CI 1.13-1.83), peripheral oxygen saturation less than 92% (HR 2.12, CI 1.56-2.88), estimated glomerular filtration rate less than 60 mL/min/1.73m2 (HR 1.80, CI 1.60-2.02), IL-6 greater than 100 pg/mL (HR 1.50, CI 1.12-2.03), D-dimer greater than 2 mcg/mL (HR 1.19, CI 1.02-1.39), and troponin greater than 0.03 ng/mL (HR 1.40, CI 1.23-1.62). Decreased risk of in-hospital mortality was associated with female sex (HR 0.84, CI 0.77-0.90), African American race (HR 0.78 CI 0.65-0.95), and hydroxychloroquine use (HR 0.53, CI 0.41-0.67).

 

Conclusions

Among patients with COVID-19, older age, male sex, hypotension, tachypnea, hypoxia, impaired renal function, elevated D-dimer, and elevated troponin were associated with increased in-hospital mortality and hydroxychloroquine use was associated with decreased in-hospital mortality.

 

Temporal change of vital signs in patients with COVID-19. BP, blood pressure; SpO2, peripheral oxygen saturation
 

View the PlumX article profile 

03/24/2021
Angelyn Thornton
No Subjects

 

Welcome to Beyond the Stacks! This is a monthly feature in which Mount Sinai Health System Libraries staff review, showcase resources, sources, and useful points of information that exist outside of the traditional resources within the library. In our first iteration of this series, Ed Jessup shares his pick: Sounds Like Hate

 

As a New Yorker that frequently takes public transportation, I find myself listening to podcasts often. I love this medium because it’s so portable and depending on the podcast, it can really be a great way to pique interest as a researcher, with great ideas, topics, books, and sources I can share with others. A terrific podcast I would like to share with everyone is one that is hosted by the Southern Poverty Law Center, called “Sounds Like Hate”.

 

The organization that supports this podcast, The Southern Poverty Law Center, was established in the early 70s, as a nonprofit organization that is well known for its advocacy in civil rights and related litigation. As a litigator for social justice, the Southern Poverty Law Center has gone after the likes of the Aryan Nations, the KKK, correctional facilities, and has advocated for persons of color, LGBTQ rights, the poor, children immigrants, and the rights of women. They spread tolerance through education and action. The organization is a defender of all civil rights but is very known for its work against white supremacy. 

 

In this era of hypervigilance in social justice and inclusiveness, the podcast, “Sounds Like Hate”, couldn’t have come at a better time. The title, “Sounds Like Hate”, is a little heavy, but merited, and is a strikingly well-done docuseries on the normalization of extremism, particularly in the United States, but also globally. What I love about this podcast series is the impeccable journalistic integrity of the content. It is well done and remarkably informative, without being inflammatory or sensational. The topic of extremism and white supremacy is explored and presented through this podcast via undercover reporting, people who have participated in extremist groups, and simple discussion. The importance of this docuseries cannot be overstated. As we usher in a new era of society, the painful conversation can no longer be ignored. The content of this podcast expands the mind of the listener and points them to other useful resources and people, making this my resource pick from beyond the stacks.

 

 

“Sounds Like Hate” can be downloaded where you find your favorite podcasts, and also on Spotify and at https://soundslikehate.org/

03/16/2021
profile-icon Kerry McKee

 The Levy Library is excited to announce the newest addition to our collection, Natural Medicines & Supplements database (formally known as Natural Standard). Natural Medicines database includes daily updates to dietary supplements, natural medicines, and integrative therapies; and the Natural Medicines Brand Evidence-based Ratings system (NMBER®) for safety and effectiveness. Now, members of the Mount Sinai community can get access to  evidence-based natural medicines resources including: 

  • Interactive tools for safety, effectiveness and interactions
  • Over 1,400 natural medicine monographs
  • Easy-to-use, industry-leading NMBER® evidence-based rating system for 185,000+ commercial brand products
  • CE for condition/disease state clinical management using natural or alternative medicines

You can view an example of evidence-based monographs available from the database HERE

Access the Natural Medicines database through the library catalog HERE.


In addition to Natural Medicines, the Levy Library has access to several other great resources and tools for information on interaction checkers and alternative and complementary healthcare that we think you should check out:

 
Lexicomp

Lexicomp - Apps on Google PlayLexicomp is an integrated search platform for multiple drug databases including the Mount Sinai Formulary and Lexi-Drugs. Includes a drug interaction and compatibility tool as well as pricing information.Additional indexes cover pediatric and geriatric pharmacotherapy, pharmacogenomics, infectious diseases management, poisoning and toxicology, nuclear and biological chemical agent exposures, and laboratory tests and diagnostic procedures. Includes a drug interaction and compatibility tool and a drug identification tool. Provides generic drug availability and pricing information.

  • Lexicomp Online is available through the library catalog HERE.
  • The Lexicomp mobile app is available to download. learn more on how to access the app HERE

 

Alt HealthWatch

Health and Wellness – Libraries Linking IdahoAlt Healthwatch is a full-text alternative health research database focused on complementary, holistic and integrated approaches to health care and wellness. It offers the latest information about the evolving practice of holistic medicine and therapies. Subjects include acupuncture, aromatherapy, childbirth, Chinese medicine, chiropractic, creative therapies, cross-cultural therapies, energy medicine, herbalism, homeopathy, mind-body medicine, naturopathy, nutrition, osteopathy, and more​.

  • Alt HealthWatch is available through the library catalog HERE

 

Featured Journals in the Levy Library Collection

 

For help with finding other resources available from the Levy Library, contact us at refdesk@mssm.edu.

03/10/2021
Angelyn Thornton

 

By Ed Jessup, Library Manager of Public Services

 

When people hear the term “business” and “healthcare” they tend to get a little confused. I mean, healthcare is about keeping people healthy, and business is about making money, and the two shouldn’t mix. This is, of course, an idealist view, as we know very well that healthcare and business do mix, and it mixes often. This doesn't have to have such negative connotations though. Healthcare is a huge industry and there are plenty of innovative companies that produce amazing products and services. Healthcare professionals deserve to know where they can access this valuable information. 

One of the premiere go-to databases for business-related information is the Business Source Complete by Ebsco. This is a one-stop-shop database for all things business and includes access to over 900 peer-reviewed business journals, more than 17,000 company profiles, and a dizzying array of industry reports. This database is international in scope, just as the healthcare industry. Keeping an eye on trends in healthcare, in areas such as pharmaceuticals and artificial intelligence are only a simple search away. In addition, it is easy to keep an eye on emerging trends and products via company profiles and find out what their competitors are doing as well. 

Another great place to investigate company and business intelligence is through Business Essentials Insights, by Gale. One of the reasons I love this resource is the quick access to company and industry information. Simply search a company by ticker symbol or an industry by NAIC code and users will be immediately whisked to accurate up-to-date information. A great feature of this database is the ability to generate quick comparison charts by company and industry.

When searching these databases for industry-related information, be aware that the healthcare industry is vast. When trying to zero in on specific facets of the industry, it can be helpful to have a NAICS code available. This can help make your searches more efficient. You can find NAICS codes freely available on their website. In addition, it is often useful to have a ticker symbol for a company of interest. These codes are also freely available at a variety of market-based websites. Remember, when searching market and business-related information, the more accurate and specific information you put in will yield in more accurate and efficient results.

Yes, the healthcare industry is an industry that people rely on for their health, and as a healthcare professional you have amazing skills to heal. Why not stay on top of trends and companies in this faceted field, and leverage this knowledge to always improve the standard of care. There are many useful tools to put to work, right at your fingertips, and the resources I have just discussed are just the tip of the iceberg. 

 

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