A Modified Advanced Cardiac Life Support Algorithm
Abdulhalim Jamal Kinsara
Article Type: PATIENT CARE | First Published: September 21, 2019
Advanced cardiac life support (ACLS) has been made with many algorithms. We are suggesting a simple combined one as a time frame expected to attend is minutes and maintaining coherent neurological status is crucial. In institutions with multiple nationalities, the way in which ACLS is taught might vary and the time frame expected to attend the important minutes in saving a life and maintaining coherent neurological status might been delayed....
Surgical Treatment of a Popliteal Artery Pseudoaneurysm after Total Knee Arthroplasty
B. Matias Garcia, A Sanchez Gollarte, F Ruiz Grande, S Barrena Blazquez, T Ratia Jimenez, RG Alvarado Hurtado and F Noguerales Fraguas
Article Type: Case Report | First Published: September 23, 2019
Vascular complications after total knee arthroplasty (TKA) are uncommon but they can compromise the viability of the limbs. The incidence of popliteal pseudoaneurysms after total knee arthroplasty varies from 0.03 to 0.5%. We present the case of a popliteal pseudoaneurysm as a complication after a TKA. A 76-year-old woman with a diagnosis of right knee osteoarthritis is undergoing TKA. During the postoperative period, the patient presented a pulsating and progressive growing mass in the popliteal gap, pain and functional impotence. Doppler ultrasound and computed tomography (CT) confirmed the ...
Nursing Leadership Learning in Practice: A Four Stage Learning Process
Pieter Jan Van Dam, RN, PhD and Karen Maree Ford, RN, PhD
Article Type: Original Research | First Published: September 19, 2019
There is emerging evidence that most nursing leadership learning occurs in practice and through social interactions. However, how this social process of learning takes place is not clear and there is limited information about how to support nursing leadership learning as it occurs in clinical settings. The purpose of this study was to increase understanding of the nature of leadership learning in nursing practice. It further aimed to discover the ways in which this type of learning is important to leadership development, and to determine how and why this is the case....
Clinical Conundrums in Diagnosis and Management of Multisystem Langerhans Cell Histiocytosis
Jun Park, MD and Vishal Sehgal, MD
Article Type: Case Report | First Published: September 26, 2019
Langerhans Cell Histiocytosis (LCH) is a rare disorder with an incident of 1.8 cases per 1,000,000. It involves granulomatous deposits in multiple organs, leading to a wide variety of manifestations such as bone lesions, pulmonary nodules, pituitary lesions, and skin lesions. With mucocutaneous manifestation, it is often diagnosed in childhood, typically making LCH a childhood disease. However, due to the involvement of multiple organ systems and variable clinical courses, if not diagnosed during childhood, the patients with LCH often suffer from delayed diagnosis and treatments as adults....
The Relation between Helicobacter Pylori Density and Gastritis Severity
Article Type: Research Article | First Published: September 21, 2019
Helicobacter pylori affects many individuals in developing countries. Inflammation caused by helicobacter pylori differs depending on the virulence factors, density and host tissue response of the bacteria. This study is intended to investigate the relation between density of helicobacter pylori colonization in gastric mucosa in biopsy specimens and gastric mucosal inflammation severity. Helicobacter pylori (H. pylori/Hp) is a microaerophilic gram negative bacilli initially detected in the antral gastric mucosa by Warren and Marshall...
Urine Sediment Abnormalities with Sedimax® Contrust PRO in CKD
Sulejmani A, Falbo R, Giacobone C, Spiti S, Sala MR and Brambilla P
Article Type: Image Article | First Published: September 07, 2019
Chronic Kidney Disease (CKD) is an increasing global public health problem and usually occurs as a silent disease, often diagnosed in advanced stages of renal dysfunction. An estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m2 and/or markers of kidney damage for > 3 months are the criteria that define CKD. Among the markers of kidney damage, urine sediment abnormalities are a simple means to facilitate the diagnosis of CKD. Chronic Kidney Disease (CKD) is an increasing global public health problem with a worldwide prevalence of 13.4%, associated with increased risks of cardiova...
Trauma and Compassion Fatigue in Mental Health Professionals Who Help Refugees in the Middle East
Walid Khalid Abdul-Hamid, MBChB, MRCPsych, PhD
Article Type: Original Article | First Published: August 22, 2019
The impact of working with people and helping them with difficult or traumatic experienced has long been recognized. The problems that affect helping professionals have been termed Compassion Fatigue, Secondary Traumatic Stress, Burnout, Vicarious Traumatization. Since the Iraq War and the Arab Spring, the Middle East has been in constant turmoil that results in traumatisation for the local population and to those trying to help them from local and international mental health care organisations. This article is trying to identify the sign and symptoms of compassion fatigue and the way it could...
Isolated Fallopian Tube Torsion: A Rare Cause of Acute Abdominal Pain
Wael Hosni and Carl-Michael Schmidt
Article Type: Case Report | First Published: August 31, 2019
Isolated torsion of the fallopian tube without epsilateral ovarian involvement is a rare cause of acute lower abdominal pain in females. The clinical presentation of tubal torsion is nonspecific and is therefore a challenge for the clinician to recognize. A definitive diagnosis can rarely be made prior to surgery. An early diagnosis may help to preserve the fallopian tube. We report a case of isolated fallopian tube torsion in a young female patient. The patient’s presentation raised clinical suspicion of acute appendicitis and laparoscopy was initiated. A right sided, twisted, dilated, and ...
Neuropathic Pain in the Distribution of the Dorsal Nerve of the Penis Secondary to a Conus Medullaris Contusion
Hu Liang Low and Ahsan Taqvi
Article Type: Case Report | First Published: September 05, 2019
Post-traumatic conus medullaris syndromes (CMS) such as after L1-burst fractures are uncommon, being encountered in only 1.7% of patients with spinal cord injuries. These injuries are almost invariably associated with bladder, erectile or bowel dysfunction, disturbance of perineal sensation and varying sensorimotor deficits in the legs. To date, there are only 6 reported cases of CMS after a L1-burst fracture without sensory or motor deficits in the lower limbs. In this case report, we describe a very rare case of CMS presenting as dysesthetic pain in the distribution of the dorsal nerve of th...