Pulmonary Ultrasonography: Its Usefulness in Differentiating Pneumothorax vs. Bulla Pulmonar Gigante
Jose Luis do Pico and Miguel Angel Landa
Article Type: Image Article | First Published: January 30, 2019
A 66-year-old patient with air flow chronic obstructive who attends the emergency service due to aggravation of his usual restlessness and dyspnea. He recorded multiple admissions in the last year for the same reason, requiring mechanical ventilation and tracheotomy. It enters from the emergency service to the Critical Care Unit poorly perfused, lucid with restlessness, intermittent paroxysmal atrial tachycardia on the electrocardiogram. There is no air intake in both hemithorax. Non-invasive ventilation is attempted, failing a few minutes to try. Endotracheal intubation and mechanical ventila...
A Ghost Behind the Rectum: Extramedullary Hematopoiesis Diagnosed by Endoscopic Ultrasound Fine Needle Biopsy
Silvia Carrara, Daoud Rahal, Alessandro Fugazza, Milena Di Leo and Alessandro Repici
Article Type: Image Article | First Published: January 30, 2019
A 76-year-old woman underwent abdominal CT (Figure 1) to explore anemia and fatigue after negative results from upper and lower GI endoscopy. CT scan showed a large heterogeneous pre-sacral mass with a long axis of 60 mm. At digital rectal examination a solid mass was palpable from the posterior rectal wall. At rectal endoscopic ultrasound (EUS), the mass showed an intense hyperechoic in homogeneous echotexture, with hypovascularization and with a soft pattern at elastography (Figure 2)....
Endoscopic Vesicoureteral Reflux Treatment Outcomes in Patients with Voiding Dysfunction
Elif Altinay Kirli, Cagatay Dogan, Mehmet Hamza Gultekin, Zubeyr Talat and Bulent Onal
Article Type: Research Article | First Published: January 28, 2019
Voiding dysfunction (VD) increases the frequency of vesicoureteral reflux (VUR). Subureteric injection is an effective method for the treatment; however, the presence of VD may affect the success rates. This study evaluated the results of single-session endoscopic treatment in patients admitting with VD symptoms who were diagnosed with VUR, and the effect of compliance to VD treatment on these results. The data regarding patients who were being followed up for non-neurogenic VD diagnosis and who underwent subureteric injection or treated conservatively was reviewed retrospectively in terms of ...
Is Phoenicia the Origin of the N1303K CFTR Mutation?
Raed Farhat, Marie Claude Pasquet, Sandra Corbani, Andre Megarbane, Alain Kitzis and Veronique Ladeveze
Article Type: Commentray | First Published: January 26, 2019
The history of Lebanon, characterized by flows of different ethnic groups, has enabled the introduction of new genes and a wide variety of genetic diseases. The early development of medical services in Lebanon has facilitated the detection of many inherent disorders. CF figures among the 184 reported genetic diseases of the Lebanese population. Even though no epidemiological studies were performed to determine the CF incidence in Lebanon, multiple factors advocate that it could be relatively high....
Use of Programmed Multilevel Ventilation as a Superior Method for Lung Recruitment in Heart Surgery
Peter Candik, Adrian Kolesar, Martin Nosal, Matus Pauliny, Frantisek Sabol, Viera Donicova, Viliam Donic and Pavol Torok
Article Type: Original Article | First Published: January 26, 2019
During cardiac surgery, extracorporeal circulation (ECC) causes lung injury. In these inhomogenously affected lungs, the pressure control ventilation (PCV) cannot adequately ventilate differently damaged lung compartments. We invented and used original multilevel lung ventilation method named 3-LV based on alternating 3 or more pressure levels, ventilation frequencies and delivered tidal volumes. The goal of this article is to compare lung mechanics in cardiac surgery patient after ECC using standard PCV when compared to 3LV ventilation....
Macrophage's Arsenal in the Battle against Zaire EBOLA Virus
Michelino Di Rosa and Lucia Malaguarnera
Article Type: Research Article | First Published: January 25, 2019
Over forty years of extensive research has not yet solved the complexity of Ebola pathogenesis leading to a continued need for a successful cure. This virus has evolved different strategies to counteract immune responses as they are unreceptive to a large portion of the known antiviral drugs and there is no valid treatment as to date for disease created by this pathogen. A plethora of evidences have revealed that monocytes/macrophage contribute significantly in viral pathogenesis....
Altruism: Brief Review of Current Opinions and Implications on Community Emergency Medicine
Oshionwu EJ and Nwose EU
Article Type: Commentary | First Published: January 25, 2019
There are several theories on altruism including the concept of pseudo-altruism. The latter constitute divergent opinion around egoism and socioeconomic status (SES). Review has identified that the conflict between altruistic and pseudo-altruistic theoretical approaches can be resolved by combining elements from both concepts. The objective of this commentary is to advance (1) That there is 'benefit to the helping altruistic individual in all altruism theories; and (2) A unifying viewpoint in terms of benefit that while every altruistic act is an adaptive humanitarian behaviour that benefits a...
Role of Nutraceuticals in the Prevention and Treatment of Hypertension and Cardiovascular Diseases
Quiara Lovatti Alves, Samuel Barbosa Camargo and DarIzy Flavia Silva
Article Type: Research Article | First Published: January 21, 2019
Hypertension is the most prevalent risk factor for cardiovascular disease, including coronary heart disease, heart failure, myocardial infarction, stoke, end-stage renal disease and erectile dysfunction. Cardiovascular diseases (CVDs) are the leading cause of death worldwide, and although their etiology were multifactorial, eating habits have been associated with its development. There has been a great deal of interest in studies associating the beneficial effects of food with prevention and treatment of many diseases. Prevention and treatment of diseases can be provided by nutraceuticals, whi...
Delayed Revascularization of Basilar Artery Occlusion due to Symptomatic Progression
Pouya Entezami, M Reid Gooch, Emad Nourollahzadeh and John Dalfino
Article Type: Case Report | First Published: January 21, 2019
The basilar artery is the main arterial contributor to the posterior circulation. Interruptions of this flow can cause devastating strokes and neurological demise. While most patients with a basilar artery occlusion suffer from a high rate or morbidity and/or mortality, a small subset survive but have progressive symptomatic decline. Delayed revascularization of these patients with chronic basilar artery occlusions based on symptomatic progression may provide a favorable risk-benefit ratio, but requires appropriate patient selection....