Demographic and Clinical Characteristics of Youth with Diabetes in the Dominican Republic, 2000 to 2016
Jessica Duska, MPH, Paige P Hornsby, PhD, Aaron Pannone, PhD, Jack Capra, MPH, Noris Solano, MD, Omar W Ebrahim and Ammar Ibrahim, MD
Article Type: Original Article | First Published: March 31, 2021
The incidence of Type 2 diabetes is growing among adults in the Dominican Republic (DR), with little data regarding diabetes among youth. Our primary objectives were to describe the demographic and clinical characteristics of pediatric diabetes patients in the DR. We conducted a retrospective chart review of 874 pediatric diabetes patients from 2000-2016. Data were abstracted and analyzed using SAS. The number of pediatric patients seen in the diabetes clinic grew over the study period, with an ...
Associations between Physical Functioning and Psychosocial Factors in Patients with Type-2 Diabetes Mellitus
Christy B Adeyege, Taofeek O Awotidebe, Olufesola M Fasakin, Taofiq O Afolabi, Rufus A Adedoyin and Babatope A Kolawole
Article Type: Research Article | First Published: March 31, 2021
Type-2 Diabetes Mellitus (T2DM) could impact on both physical performance and psychological well-being. However, the link between physical functioning (PhF) and psychosocial factors (PsF) of patients with T2DM remains unclear. This study investigated the associations between PhF and PsF in patients with T2DM. This cross-sectional study involved 140 patients with T2DM receiving treatment at a Nigerian tertiary hospital using purposive sampling technique. Socio-demographic data were recorded. PhF ...
Relationships between Hand Grip Strength, Upper Limb Anthropometric Characteristics and Hand Disability in Middle- Aged and Older Adults with Type-2 Diabetes Mellitus
Taofeek Oluwole Awotidebe, PT, PhD, Marufat Oluyemisi Odetunde, PT, PhD, Margret Ada Okonji, PT, MSc, Adekola John Odunlade, PT, MSc, Olufesola Motunrayo Fasakin, RN, MSc, Abayomi Andrew Olawoye, PT, DPT, Bamikole Paul Ayesoro, BMR, PT, Rufus Adesoji Adedoyin, PT, PhD and Babatope Ayodeji Kolawole, MBChB, FWACP
Article Type: Researc h Art icle | First Published: March 29, 2021
Progressive decline in muscular strength at middle age coupled with the presence of Type-2 Diabetes Mellitus (T2DM) may define hand disability (HdD) as age progresses. However, there is paucity of information on the link between hand grip strength (HGS), upper limb anthropometric characteristics (ULAC) and hand disability (HdD) in patients with T2DM. This study investigated the relationships between HGS, ULAC and HdD as well as factors associated with HdD in middle-aged and older people with T2D...
Multidisciplinary Bundle Approach in Venous Thromboembolism Prophylaxis in Patients with Non-Traumatic Subarachnoid Hemorrhage
Brian Phan, PharmD, BCCP, Lolita Fagaragan, MS, SCRN, Ali Alaraj, MD and Keri S Kim, PharmD, MS CTS, BCPS
Article Type: Original Research | First Published: April 08, 2021
The incidence of asymptomatic deep vein thrombosis (DVT) is reported to be up to 21% in patients with non-traumatic subarachnoid hemorrhage (SAH). A venous thromboembolism (VTE) bundle was launched in 2016 at the University of Illinois Hospital (UIH) aiming to reduce the rate of newly diagnosed VTE in the neurosurgical ICU. Two main elements of the bundle included prospective and daily audit on the correct use of intermittent pneumatic compression (IPC) and compliance of subcutaneous heparin (SQ...
Thyrotoxic Periodic Paralysis- An Uncommon Disease in the Western World: A Case Report
Sara Samad, DO, Joshua M Samuel, BSc and Frida Popilevsky, MD
Article Type: Case Report | First Published: March 31, 2021
Thyrotoxic Periodic Paralysis (TPP) is a rare diagnosis in the western world; however, its incidence has been rising in recent years due to globalization. This condition has the potential to be deadly if not detected and treated in a time appropriate manner. This case discusses our management of a patient who came into our hospital with complaints of total body numbness and weakness for several hours. He was subsequently diagnosed with TPP and was treated with Methimazole and aggressive potassiu...
Opioid-Free Anesthesia in Bariatric Surgery: A Retrospective Cohort Study
Judith Aronsohn, MD, Masha Zeltsman, DO, Madina Gerasimov, MD, Greg Palleschi, MD, Patriot Yang, MD and Oonagh Dowling, PhD
Article Type: Brief Report | First Published: March 29, 2021
The objective of this study is to evaluate the analgesic efficacy and patient recovery characteristics when utilizing opioid- free anesthesia (OFA) as part of a multimodal enhanced recovery after surgery pathway (ERAS) for bariatric surgery. Retrospective cohort study. Data was collected from medical records from June 2018 to September 2019 for consecutive patients aged 18 and older undergoing elective laparoscopic sleeve gastrectomy for obesity. A standardized ERAS pathway for bariatric surgery...
Determining of Proxy and Self-report Agreement on the Stroke and Aphasia Quality of Life Scale SAQOL-39/TR
Eda İyigün and Bülent Toğram
Article Type: Research Article | First Published: March 29, 2021
Health-related quality of life measures are increasingly used to evaluate after stroke conditions. However, after-stroke people with severe aphasia may not able to self-report on such scales due to the severity of their communication impairment and their proxies report on behalf of them. This research aims to determine the level of agreement between people with aphasia and their proxies on the Turkish Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39- TR). For this purpose, 32 people with ap...
Complete Heart Block in a Patient with COVID-19
Ricardo J Villasmil, MD, Christian J Lorenzo, MD, Qassem K Abdelal, MD, Jorge I Conte, MD, Natalia Lattanzio, MD, Wilhelmine Wiese-Rometsch, MD and Henry G Cheng, MD
Article Type: Case Report | First Published: March 31, 2021
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has been reported to cause cardiac complications including myocarditis, acute myocardial infarction (AMI) and various tachyarrhythmias. We present a 63-year-old male who developed nonreversible symptomatic bradycardia due to advanced atrioventricular block (AV) requiring pacemaker placement in the setting of severe SARS-CoV-2 pneumonia. SARS-CoV-2 is a novel coronavirus identified as the pathogen responsible for causing th...
Immunoglobulin D-Lambda Multiple Myeloma, and a Review of the Literature
Aissam EL MAATAOUI, Salma FARES and Aadil TAOUFIK
Article Type: Case Report | First Published: March 27, 2021
IgD multiple myeloma (MM) is a rare plasma cell neoplasm, considered to have a poor prognosis compared to the other isotypes. Many studies reported an advanced stage at the presentation. In contrast to these studies, we report a case of rare IgD-Lambda MM at the early stage. The laboratory data showed no hypercalcemia, without any renal impairment, or monoclonal spike (M-spike or paraprotein) at the Serum protein electrophoresis (SEP) but only a hypogammaglobulinemia. IF is performed with antise...
Traumatic Brachiocephalic Artery Pseudoaneurysm
Sally Shepherd and Jessica Wong
Article Type: Case Report | First Published: March 13, 2021
A 19-year-old female presented to a tertiary Trauma Centre post intentional 100 km/hr motor vehicle crash into a tree. She was wearing a seatbelt in the driver's seat, airbags were deployed and required assistance extricating after entrapment for 45 minutes. She was normotensive but tachycardic with a shortened and rotated right lower limb, receiving 500 mls crystalloid and splinting to her right lower limb. On arrival in ED her airway was patent and cervical spine secured in a rigid collar. She...