A Plausible "Penny" Costing Effective Treatment for Corona Virus - Ozone Therapy
Robert Jay Rowen, MD and Howard Robins, DPM
Article Type: Commentary | First Published: March 06, 2020
Many viruses require reduced sulfhydryl groups for cell fusion and entry. Corona viruses, including SARS-CoV-2 (the cause of the condition now named coronavirus disease 2019 or COVID-19), are rich in cysteine, which residues must be intact for viral activity. Sulfhydryl groups are vulnerable to oxidation. Ozone therapy, a very inexpensive and safe modality may safely exploit this critical vulnerability in many viruses, inclusive of SARS-CoV-2. Mainstream medicine has little in its arsenal for viral disease, and its therapies for bacterial infections are waning as well. Coronaviruses have abund...
Deferring Antibiotic Prescribing in Nursing Home Residents with Asymptomatic Bacteriuria: A Pilot Educational Intervention
Emilie Kennedy, DNP, CRNP, FNP-C
Article Type: Clinical Research Article | First Published: March 04, 2020
Unnecessary antibiotic use in nursing home patients leads to negative outcomes including the emergence of multi-drug-resistant bacteria, adverse drug events, polypharmacy and higher health care costs. The purpose of this study was to develop and assess the effects of a pilot clinical staff educational intervention on best practices for the management of asymptomatic bacteriuria (ASB) in nursing home residents. A multi-faceted educational intervention program on ASB was provided to Emergency Department clinical staff at Butler Memorial Hospital-a non-profit organization and independent communit...
Idiopathic Large Pericardial Effusion and Cardiac Tamponade in Children with Down Syndrome
Numra Aleem, MD, Amna Qasim, MD and Ashraf M Aly, MD, PhD
Article Type: Case Report | First Published: February 26, 2020
Pericardial effusions (PE) in patients with Down syndrome (Trisomy 21) have been associated with hypothyroidism, viral infections and malignancies (particularly leukemia). The PE is usually not large enough to cause cardiac tamponade. We report two cases of idiopathic large PE with one of them progressing to develop a cardiac tamponade that required an urgent pericardiocentesis. A 3-year-old female with Trisomy 21 was seen at cardiology clinic for follow up of a small secundum ASD. Patient has been asymptomatic from the cardiac standpoint and the parents denied any recent fever or other acute ...
Cannabinoid Use and Depression: Comparison of Natural and Synthetic Cannabinoids
Serap Akdeniz Gorgulu, MD and Can Sait Sevindik, MD
Article Type: Original Article | First Published: February 29, 2020
Patients who predominantly used marijuana (natural cannabis) and patients who predominantly used synthetic cannabinoids in their history were evaluated as two separate groups in our study which aimed to compare the sociodemographic characteristics and depressive symptoms of these two groups. The sample of our study consisted of those patients who referred to the Polyclinic of Psychiatry at Ardahan State Hospital and were diagnosed with substance addiction. 30 polyclinic patients who defined predominant use of marijuana and 20 polyclinic patients who defined predominant use of synthetic cannabi...
Imaging Modality and Management of Hepatic Injury in the Trauma Setting
Anthony J Brusnahan
Article Type: Case Report | First Published: February 20, 2020
Through the use of imaging, liver injuries in the setting of blunt abdominal trauma have become easier to grade. These liver injury grades, formed by The American Association for the Surgery of Trauma, have been used to recommend operative versus non-operative management. However, the utilization of a relatively new approach offered by the World Society of Emergency Surgery is taking hemodynamic stability into account. As a result, more patients with severe liver injuries are being managed non-operatively. Mortality rates have improved, but morbidity continues to rise due to increased complica...
Predictors of Dengue Shock Syndrome: APTT Elevation as a Risk Factor in Children with Dengue Fever
Vijayaraghavan, MD, Thay Wee Ying, MD, Foong Shing Weu, MD and Hafsa Palile
Article Type: Original Article | First Published: February 17, 2020
A retrospective study was conducted to investigate the risk factors in dengue cases admitted from 2005 to 2010 in Tawau Hospital, Sabah. A total of 732 cases admitted as suspected dengue were analysed and out of it 203 patients were found to be positive for dengue serology. Clinical and Laboratory data’s were collected and analysed for the risk factors. In our observation over period of time we found APTT was raised in most of the DHF/DSS. So want to see the significance of APTT as a risk factor. Out of the risk factors APPT was significantly raised more than the other risk factors. Not many...
Results of an Intervention Model in Intestinal Parasitosis in Parents Havana 2019-2020
Osvaldo Batista Rojas, MSc
Article Type: Research article | First Published: February 20, 2020
An educational intervention study on intestinal parasitism was carried out in parents of parasitized children of Capitan San Luis de Marianao Elementary School, Havana in the period May 2018-2019, with the purpose of modifying the knowledge in these parents against some hygienic- sanitary aspects in order to reduce the incidence of disease through the application of a program of educational activities. Knowledge was determined through the use of a structured questionnaire. And social activities From a total of 125 parents, a random sample was selected and the questionnaire was administered to ...
Torque and Electrical Activation of the Rectus Femoris Muscle at Distinct Joint Angles: A Case Study
Anelize CINI, Francesca SONDA, Izabel de Almeida PAZ, Ana Paula Janner ZANARDI and Grazielle Martins GELAIN
Article Type: Case Report | First Published: February 21, 2020
The angulation of knee and hip joints affect isometric contractions of Rectus Femoris muscle (RF) during knee extension. Literature states that torque-angle relationship depends on muscle length and neuromuscular electrical activation. However, it is still not clear whether the maximum neuromuscular activation changes concomitantly with the change in the joint angles considering the presence of muscle shortening. We present a case study in which we analyzed changes in neuromuscular activation and peak torque of the RF at distinct joint angles of hip and knee. The search for evidence in the the...
A Novel Oblique Impact Test Rig for Testing Helmet
Daniel E Abram, Adrian Wikarna, Farid Golnaraghi and G Gary Wang
Article Type: Research Article | First Published: February 13, 2020
In this work, a new test rig is introduced to assess various head impact scenarios on different types of helmets. The test rig is a free-fall system where a helmeted headform is suspended instead of being placed on a basket frame and detaches from the system before the impact allowing an unrestricted motion. The proposed testbed showed to be effective in performing helmet impact tests at different angles. The test rig is particularly effective in tests at steep anvil angles, such as 15°, which could be problematic utilizing conventional test rigs with a basket frame. This is because, right be...
Bacterial Contamination from Intraoperative Endotracheal Suctioning in Songklanagarind Hospital
Kwanruthai Narunart, MD, Wirat Wasinwong, MD, Sirikarn Siripruekpong, MD, Amphan Chantarokorn, BNS and Riam Kosem, BNS
Article Type: Research Article | First Published: February 17, 2020
This prospective randomized controlled trial in 276 patients of age more than 18-years-old who had American Society of Anesthesiologists (ASA) class I-III and scheduled for elective surgery and had no risk of aspiration were enrolled and randomly assigned into two groups. The patients with general anesthesia with oroendotracheal intubation were included. Endotracheal suctioning was performed by the decision of anesthesiologists or anesthetic nurses with sterile or clean technique regarding the group assignment. Secretion collected from the suction catheter was sent to the microbiology laborato...