Erector Spinae Plane Block for Peripartum Analgesia in a Patient with Tarlov Cysts
LT Scott B Hughey, MD/MBA, MC(FS), USN, LT Jacob H Cole, MD, MC, USN, LCDR Thomas F Olson, MD, MC(FMF), USN and LCDR Victor A Rivera, MD, MC(FS), USN
Article Type: Case Report | First Published: December 21, 2019
Tarlov cysts are sacral perineural cysts which occur in up to 4.6% of the population. Neuraxial anesthesia is relatively contraindicated in these patients. Similarly, many of these patients have chronic pain from the cysts, often requiring chronic opioid use. Pain during labor may be difficult to control in these patients due to concerns regarding neuraxial analgesia and submaximal benefit from systemic remifentanil infusions. The Erector Spinae Plane (ESP) Block has recently been described as a regional technique for thoracic and abdominal procedures which can decrease both somatic and viscer...
Blood Lead, Urinary Lead and Urinary δ-Aminolevulinic Acid Levels among Children Living in Kinshasa, D R Congo: A Pilot Biomonitoring Study
Mputu MLC, Ndelo JP, Ndelo MP, Marini RD, Lusakibanza MM, Dubois N, Rozet E, Le Brun P, Cimanga KR and Charlier C
Article Type: Research Article | First Published: December 16, 2019
Lead exists naturally in the earth’s crust and it is widely used as a heavy metal. It is an environment toxicant that may deleteriously affect nervous, hematopoietic, skeletal, renal, endocrine and reproductive systems. So, exposure to lead in the environment continues to be a serious public health problem for all ages. Children are particularly susceptible to lead poisoning. They absorb more lead from their environment and their developing central nervous systems are vulnerable to the toxic. Fifty percent of children aged from 0 to 17-years-old presented blood lead levels above 100 μg/L an...
Assessment of Knowledge, Attitudes and Practices of Medical Students Regarding Hepatitis B Infection at a Private University of Medicine in Senegal
Fortes Deguenonvo L, Massaly A, Ngom Gueye NF, Diallo Mbaye K, Cisse Diallo VMP, Lakhe NA, Ka D, Thioub D, Badiane AS, Edzang TB, Fall NM, Dieye A, Massaly A, Diop M, Ndour CT, Soumare S and Seydi M
Article Type: Original Article | First Published: December 19, 2019
Senegal is among the most endemic countries for viral hepatitis B with 11% of chronic HBV carriers. Students in the health sector are among those most at risk. The objectives of this study were to determine the Knowledge, Attitudes and Practices (KAP) of students at a private university in Dakar regarding viral hepatitis B and to identify associated factors. A cross-sectional, descriptive, and analytical study has been conducted among students of the St Christopher Iba Mar Diop School from April 1 to 30, 2019. The questionnaire was self-administered. Chi2 testing and logistic regression were u...
Effects of Massage on Cardiovascular Outcomes and Perceived Exertion of Brazilian JIU-JITSU Parathletes Submitted to Simulated Fight
Jaqueline Santos Silva Lopes, Simone Maria Lopes, Anibal Monteiro de Magalhaes Neto, Aline Castilho de Almeida, Abel Pompeu de Campos Junior, Bruno Fernando Cruz Luccheti, Daianne Camargos da Silva, Claudia Marlise Balbinotti Andrade
Article Type: Research Article | First Published: December 16, 2019
The aim of this study was to investigate the cardiovascular physiological responses and perceived exertion rate on Brazilian Jiu-Jitsu parathletes submitted to a simulated fight. Six male athletes were included. After the fight, a recuperative massage protocol was applied to the upper limbs and trunk. Regarding Heart Rate (HR), values above baseline were found in all participants post intervention. Only one participant demonstrated recovery of Blood Pressure (BP) to baseline after the technique. Outcomes related to perceived exertion, measured immediately after the simulated fight, showed an a...
Association between Cigarette Smoking and Serum Gamma-Glutamyl Transferase Level
Dongcheol Lee, Hyun Wuk Kang and Yu Il Kim
Article Type: Research Article | First Published: Lee D, Kang HW, Il Kim Y (2019) Association betwee
Gamma-glutamyltransferase (GGT) is an enzyme mainly produced from the cells of the hepatobiliary tract. And, it has been introduced as a biomarker for oxidative stress mainly by alcohol consumption and current smoking. This study was performed to evaluate the association between smoking status and serum GGT concentration. The effect of cigarette smoking on serum activities of the enzyme, GGT was investigated using the data of the 5th Korea National Health and Nutrition Examination Survey (5th KNHANES, 2010 to 2012); a cross sectional survey in the general population of Korea....
Investigating the Effects of Phenytoin, Phenobarbital, Topiramate, Carbamazepine and Sodium Valproate on the Neurotransmitter Speed in Treated Seizure Children
Farzad Ahmadabadif, Ghasem Fattahzadeh, Abolfazl Atalu and Pooya Badihi
Article Type: Research Article | First Published: December 18, 2019
Anticonvulsants such as phenytoin, phenobarbital, topiramate, carbamazepine and valproate due to their beneficial effects and economic benefits in compare to new drugs are used more but these drugs are not harmless and sometimes had dangerous, safe and reversible side effects. Reduction of the nervous conduction velocity (NCV) is the common side effect of these drugs and it is of clinically importance if it is severe especially in treated children. Therefore, it is necessary to evaluate and compare the effect of each drug on NCV. The aim of this study was to investigate the effects of antiepil...
Prevalence of Diabetes Mellitus in Outpatients with Essential Hypertension in a Rural Tertiary Hospital
Ogunmola Olarinde Jeffrey, Ajani Gbadebo Oladimeji and Olabinri Eunice Oluremi
Article Type: Original Article | First Published: December 16, 2019
To determine the prevalence of diabetes mellitus (DM) in patients with essential hypertension attending outpatient medical clinic in a rural community setting of a developing country. This cross-sectional study included patients of a medical outpatient clinic in Federal Teaching Hospital Ido Ekiti, Ekiti State, Nigeria. Study patients were consecutively recruited from Cardiac clinic and baseline investigations obtained from the patients’ files were evaluated including Fasting Blood Glucose (FBG).The estimated minimum sample size was 80 with probability of type 1 error, assumption of α = 0.0...
A Signal Detection Analysis of World Health Organization’s Pharmacovigilance Database
Article Type: Original Article | First Published: December 14, 2019
Pharmacovigilance is the primary method used to identify hazards associated with medicinal products. Using generalized likelihood ratio tests, we examed the adverse reaction signals of the drug class Monoamine oxidase inhibitors (MAOIs) from World Health Organization’s Pharmacovigilance Database. The proposed test procedure has the ability of detecting adverse reactions of multiple drugs simultaneously. Our findings sugggest there are 23 common Adverse reaction signals detected within this drug class. And postural hypotension, high blood pressure, fainting, abnormal heart rhythm, dizziness, ...
First Observation of Two TMPRSS6 Gene Mutations (G603R and K636AFSX17) in Turkish Population
Yasemin Ardicoglu Akisin, Gulnaz Kurt, Hüseyin Onay, Ferda Ozkinay and Nejat Akar
Article Type: Case Report | First Published: December 20, 2019
Iron is one of the elements that participate numerous reaction on the body and the structure of hemoglobin to the purpose of carrying oxygen to the tissues. Thus, iron deficiency causes different problems in the body. Iron-refractory iron deficiency anemia (IRIDA) is a genetic disorder that has some signs of iron deficiency anemia (IDA) but refractory to oral iron and partially refractory to intravenous iron. The mutation in TMPRSS6 gene causes matriptase-2 protein deficiency that negatively regulates hepcidin molecule. Thus, increasing hepcidin connects its receptor ferroportin and decreases ...