Open Access DOI:10.23937/2643-461X/1710081

An Unexpected Site of a Familiar Foe: A Rare Case of Nipple Tuberculosis

Sibaram Panda, MD, DVL, Yash Dad, MD, DVL, Jeebanjyoti Mishra, MD, DVL and Shini Choubey

Article Type: Case Report | First Published: February 23, 2025

Tuberculosis is one of the most common infectious diseases encountered in low income and developing countries. Although the incidence of Tuberculosis of lung is high in these countries, tuberculosis of breast and in particular tuberculosis of nipple and areola is very rare. Constitutional symptoms are usually not present making its diagnosis even more difficult....

 Open Access DOI:10.23937/2643-3966/1710067

Impact of Cardiovascular Disease on the Bone-Vascular Axis: A Systematic Review of Musculoskeletal Deficiencies and Therapeutic Implications

Saichaitanya R. Nallajennugari and Viraj Y. Amin

Article Type: Systematic Literature Review | First Published: February 23, 2025

Recent advances in medical research reveal how cardiovascular diseases, the leading cause of death worldwide, have substantial effects on other body systems. Cardiovascular diseases like arteriosclerosis and coronary artery disease (CAD) are caused when coronary arteries are blocked by a buildup of atherosclerotic plaques, leading to reduced blood flow, ischemia, stroke, and myocardial infarction. Traditionally, CAD and arteriosclerosis are researched for their prevalent effects on the cardiovas...

 Open Access DOI:10.23937/2469-5769/1510134

Determinants of Early Breastfeeding in a Referral Hospital in Abidjan (Côte d’Ivoire)

Kouakou C, Djivohessoun A, Djoman I, Kouadio E, Dainguy M, Gro BA, Soro C, N’gatta P, Menye ME, Mansou A and Folquet

Article Type: Original Article | First Published: March 02, 2025

Breastfeeding helps to improve the survival of the newborn, especially in countries with limited resources. To achieve full adherence by mothers to the early breastfeeding of the newborn in hospital, it is necessary to understand the factors likely to influence this practice. The objective of this study was to determine the factors related to the practice of early breastfeeding in mothers....

 Open Access DOI:10.23937/2572-407X.1510039

Challenges in Managing Primary Hyperparathyroidism during Pregnancy: Case Series

Dineash Kumar Kannesan, QingCi Goh, ChinVoon Tong and PohShean Wong

Article Type: Case Series | First Published: March 01, 2025

Primary hyperparathyroidism (PHPT) in pregnancy is uncommon and poses challenges in managing it with desired good maternal and fetal outcomes. We report two cases of PHPT in pregnancy with challenges in localizing the lesion, one localized successfully using low dose 99mTc-sestamibi and the other patient required neck exploration....

 Open Access DOI:10.23937/2377-4630/1410185

Carotid Artery Cannulation for Resuscitation during Hypovolemic Shock: A Boon or Bane?

Yuvaraj Kotteeswaran, MD, DNB, PDCC, Saravana Babu, MS, MD, DM, FICACC, FTEE and Todd McDonald, MD, FRCPC, PhD

Article Type: Editorial | First Published: February 28, 2025

A 20-year-old healthy male presented to the emergency room with a penetrating injury to the anterior abdominal wall. On examination, he was in hypovolemic shock with no palpable peripheral pulses. Focused assessment with sonography in trauma (FAST) revealed free fluid in the abdominal cavity....

 Open Access DOI:10.23937/2378-3516/1410194

Addressing Environmental Factors in COPD: The Role of HEPA Filters in Indoor Air Quality

Nishant Allena, Anandu Mathews Anto, Luis Espinosa, Sneha Khanal and Trupti Vakde

Article Type: COPD is a major public health issue globally, resulting in Check for updates unit increase in ambien | First Published: March 01, 2025

COPD is a major public health issue globally, resulting in Check for updates unit increase in ambient air pollutant exposure is significant morbidity, loss of productivity, and increased health expenditure. Air pollution is considered the primary factor leading to the development and progression of COPD. While the role of outdoor air pollution was well outlined, studies have looked at how indoor air quality and indoor air pollution can cause or worsen the disease. ...

 Open Access DOI:10.23937/2469-5858/1510158

Anorexia of Aging: Assessing the Educational Needs of Primary Care Clinicians and Barriers to Optimal Care in Rural and Underserved Communities

Haifa Kassis, MD, Erica Rusie, PharmD, Eric VanStone, Traci DeVito, Daniela DiBiase, MS, MPH, Vandana Iyer, PhD, Michael White, PhD, David Cappel, PhD, McKenna Monroe, Elizabeth McCulloch and Rachel Mascia

Article Type: Original Article | First Published: February 09, 2025

Anorexia of aging is a common geriatric syndrome associated with many adverse health outcomes (eg, unintended weight loss, malnutrition). In the United States (US), the population is aging, but more rapidly so in rural counties where older adults account for more than 20% of the population. Compared to adults aging in urban areas, those aging in rural and underserved communities face more limited access to healthcare and social support networks and have higher rates of unintended weight loss, ma...

 Open Access DOI:10.23937/2690-3148/1710007

Otolith-Ocular Reflex

Hiroaki Ichijo and Hisako Ichijo

Article Type: Research Article | First Published: February 07, 2025

The otolith organs are the utricle and saccule, and their function is to sense gravity and linear acceleration. We performed several physical experiments to determine whether nystagmus occurs when stimulating the otolith organs....

 Open Access DOI:10.23937/2643-4466/1710041

Severe Neuropsychiatric Symptoms Associated with "Mild" Primary Hyperparathyroidism: A Case Report

Nikith Rao, DO and Farrin Manian, MD

Article Type: Case Report | First Published: February 08, 2025

Neuropsychiatric manifestations are a well-known complication of primary hyperparathyroidism (PHPT) yet are often overlooked in patients with mild hypercalcemia. Parathyroidectomy solely for the treatment of neuropsychiatric symptoms or signs of PHPT remains controversial....

 Open Access DOI:10.23937/2474-3674/1510168

Evaluation of Updated NG51 Guidelines on Early Recognition and Sepsis Outcomes in Elderly Patients

Jack Greenwold

Article Type: Review Article | First Published: January 31, 2025

This review critically examines the evidence and arguments regarding the impacts of the updated NG51 guidelines on future sepsis identification, diagnosis and outcomes. Drawing on personal observations of sepsis management in the Emergency Department, this review also includes original recommendations for potential future updates to the NG51 guidelines....