James E. Cimino | |
---|---|
Born | 1928 |
Died | February 11, 2010 |
Education | New York University School of Medicine |
Occupation | physician |
Known for | Cimino fistula, palliative care |
Medical career | |
Institutions | Bronx Veterans Administration Medical Center, Calvary Hospital |
Research | Hemodialysis, Nephrology |
James E. Cimino (1928-11 February 2010 [1] ) was a physician who specialized in palliative care. He is best known for his invention of the Cimino fistula and for his work as an administrator at Calvary Hospital into the Palliative Care Center it is today. [2]
Dr. Cimino went to New York University School of Medicine and did his internal medicine residency at the University of Buffalo followed by a fellowship in physiology. [3] [4] He then moved back to the Bronx to work at the Bronx Veterans Administration Medical Center where he started a program on dialysis. He developed techniques for employing arteriovenous fistula in patients with chronic kidney failure, which led to a presentation in 1966 at the convention of the American Society for Artificial Internal Organs. His presentation at first was met with indifference, but eventually was established as an important contribution to the field. [5]
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain, illnesses including other problems whether physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
James Marion Sims was an American physician in the field of surgery. His most famous work was the development of a surgical technique for the repair of vesicovaginal fistula, a severe complication of obstructed childbirth. He is also remembered for inventing the Sims speculum, Sims sigmoid catheter, and the Sims position. Against significant opposition, he established, in New York, the first hospital specifically for women. He was forced out of the hospital he founded because he insisted on treating cancer patients; he played a small role in the creation of the nation's first cancer hospital, which opened after his death.
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Montefiore Medical Center is a premier academic medical center and the primary teaching hospital of the Albert Einstein College of Medicine in the Bronx, New York City. Its main campus, the Henry and Lucy Moses Division, is located in the Norwood section of the northern Bronx. It is named for Moses Montefiore and is one of the 50 largest employers in New York. In 2020, Montefiore was ranked No. 6 New York City metropolitan area hospitals by U.S. News & World Report. Adjacent to the main hospital is the Children's Hospital at Montefiore, which serves infants, children, teens, and young adults aged 0–21.
A Cimino fistula, also Cimino-Brescia fistula, surgically created arteriovenous fistula and arteriovenous fistula, is a type of vascular access for hemodialysis. It is typically a surgically created connection between an artery and a vein in the arm, although there have been acquired arteriovenous fistulas which do not in fact demonstrate connection to an artery.
Ira Robert Byock is an American physician, author, and advocate for palliative care. He is founder and chief medical officer of the Providence St. Joseph Health Institute for Human Caring in Torrance, California, and holds appointments as active emeritus professor of medicine and professor of community health and family medicine at the Geisel School of Medicine at Dartmouth College. He was director of palliative medicine at Dartmouth–Hitchcock Medical Center, from 2003–14, and associate director for patient and family-centered care at the affiliated Norris-Cotton Cancer Center.
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Homer Richards Warner was an American cardiologist who was an early proponent of medical informatics who pioneered many aspects of computer applications to medicine. Author of the book, Computer-Assisted Medical Decision-Making, published in 1979, he served as CIO for the University of Utah Health Sciences Center, as president of the American College of Medical Informatics, and was actively involved with the National Institutes of Health. He was first chair of the Department of Medical Informatics at the University of Utah School of Medicine, the first American medical program to formally offer a degree in medical informatics.
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James J. "Jim" Cimino is an American physician-scientist and biomedical informatician. He is Professor of Medicine and Director of the Informatics Institute at the University of Alabama at Birmingham School of Medicine and Adjunct Professor of Biomedical Informatics at Columbia University. He is an elected fellow of the American College of Medical Informatics and a member of the National Academy of Medicine.
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