Open Access DOI:10.23937/2469-5769/1510099

High Prevalence of Neonatal Respiratory Distress and its Possible Etiologies in NICU in Syria

Fareeda Wasfy Bijow, MD, Oday Jouni, MD and Adnan Dayoub, MD

Article Type: Original Article | First Published: July 18, 2022

Neonatal Respiratory Distress (NRD) is one of the most causes of hospitalization in Neonatal Intensive Care Units (NICU) worldwide in both preterm and full-term neonates. Its prevalence and etiologies vary according to several geographic, ethnic and service factors. We aimed to determine Prevalence and etiologies of NRD in NICU in Tishreen University Hospital in Lattakia, Syria....

 Open Access DOI:10.23937/2643-4563/1710041

Vulvar Biopsy as a Key for the Diagnosis of Langerhans Cell Histiocytosis with Multifocal Involvement: Case Report and Review of Literature

Sandra M Buitrago, Carolina Morante C, Laura Hernandez, Martha C Mendez

Article Type: Clinical Case | First Published: June 30, 2022

Langerhans cell histiocytosis is a rare disease and due to its heterogeneous presentation represents a diagnostic and therapeutic challenge. We present the case of a patient with diabetes insipid us and panhypopituitarism, with the appearance of painful vulvar ulcers. The vulvar biopsy confirmed Langerhans cell histiocytosis with spreading to multiple organs, so it was decided to start chemotherapy, achieving the complete elimination of all lesions....

 Open Access DOI:10.23937/2378-2951/1410262

Atrial Flow Regulator: A New Player for the Treatment of Refractory Heart Failure

Vincenzo Rizza, MD, Giuseppe Uccello, MD, Francesco Federico, MD, Mariano Pellicano, MD, PhD, Maurizio Tespili, MD and Alfonso Ielasi, MD

Article Type: Case Report | First Published: July 23, 2022

Described herein the case of a 55-year-old man diagnosed with advanced heart failure. He had a history of ischemic heart disease leading to moderate left ventricular systolic disfunction, symptomatic for effort dyspnoea despite optimal medical therapy. After coronary angiography and right heart catheterization (showing basal pulmonary capillary wedge pressures - PCWP - 20 mmHg), the patient underwent percutaneous inter-atrial shunt therapy (IAST) through the opposition of an Atrial Flow Regulato...

 Open Access DOI:10.23937/2378-2951/1410261

A New Method for Left Ventricular Lead Delivery: A Side Helix Can Overcome the Tortuous Left Lateral Vein of the Coronary Sinus

Makoto Takano, MD, Yukihiro Inamura, Hisao Matsuda, Tomoo Harada and Yoshihiro J Akashi

Article Type: Review Article | First Published: July 20, 2022

Cardiac resynchronization therapy (CRT) has become an established treatment for heart failure patients with conduction disorders and a significantly reduced ejection fraction. Nevertheless, CRT is limited by several complications, many of which are associated with the insertion of the left ventricular (LV) lead. The LV lead should be placed at the most delayed site in the left ventricle....

 Open Access DOI:10.23937/2378-2951/1410260

In-Hospital Cardiac Manifestations of COVID-19 Pneumonia and their Management

Rajkumar Gangappa Nadakinamani, Prashanth Panduranga, Mohammed Aziz Khandekar, James Pallivathukkal and Baher Youssef Hanna

Article Type: Review Article | First Published: July 09, 2022

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2 has been declared a pandemic. Broadly, hospitalized COVID-19 pneumonia patients suffer two important cardiac effects. Firstly, when COVID-19 pneumonia affects people with pre-existing cardiovascular disease (CVD), they have worst outcomes compared to those without CVD....

 Open Access DOI:10.23937/2469-5696/1410078

Hemophagocytic Lymphohistiocytosis in A Post Covid-19 Patient with Mds: A Case Report

Ioannis Vasilopoulos, MD, Marina P Siakantaris, MD, PhD, Kalliope Zerzi, MD, Eliana A Konstantinou, MD, John V Asimakopoulos, MD, PhD, Anestis Karapaschalidis, MD, Fotios Panitsas, MD, MSc, Eleni Plata, MD, Maria K Angelopoulou, MD, Theodoros P Vassilakopoulos, MD, PhD and Panayiotis Tsaftaridis, MD, PhD

Article Type: Case Report | First Published: July 13, 2022

Primary or secondary hemophagocytic lymphohistiocytosis (HLH) is characterized by immune activation and lifethreatening cytopenias. Causative relationship between a number of pathogens, autoimmune diseases and even hematologic malignancies with secondary HLH (sHLH) have been reported....

 Open Access DOI:10.23937/2572-3308.1510042

Direct Costs and Time-Use Related to Subcutaneous Immunotherapy in Spanish Patients with Allergic Rhinitis: Across-Sectional Survey

Mette Bogelund, Ana Rosado, Jose Maria Ausin Ruiz, Adolfo Galan Vivo, Henrik Brandi, Mikkel Hasse Pedersen, Anne Sofie Ledgaard Loftager, Anna Okkels and Mark Aagren

Article Type: Review Article | First Published: July 22, 2022

In this cross-sectional study, 286 adults and 513 caregivers of children with symptomatic AR of at least moderate severity who are currently or have previously received allergy immunotherapy (AIT) entered the questionnaire. We excluded respondents who partly completed the survey, who are receiving or have received AIT using a sublingual or an unknown route, or who stopped AIT more than five years earlier....

 Open Access DOI:10.23937/2377-4630/1410143

Prevention and Management of Post- Dura Puncture Headache (PDPH)

Aynalem Befikadu, Sara Timerga, Fasil Mihretu, Fetene Siyoum and Amare Agmuas

Article Type: Narrative Review | First Published: July 21, 2022

Post-Dural puncture headache (PDPH) is the commonest complications during diagnostic, therapeutic or inadvertent lumbar puncture. It is unavoidable problem during dural puncture and what we can do is decreasing the incidence by taking all precautions and if it occurs, manages appropriately. Despite the existence of wide ranges of popular therapies, there is a continuous controversy about their effectiveness....

 Open Access DOI:10.23937/2469-5823/1510175

Safe Patient Hand-Off Strategies in Obstetric Units

Praise Tochukwu Chineyemba, RN

Article Type: Review Article | First Published: July 28, 2022

Most sentinel events reported to the Joint Commission are directly linked to miscommunication between healthcare workers, and hand-offs present an opportunity for errors. This paper aims to describe recommendations regarding safe patient hand-offs in labor and delivery and postpartum units....

 Open Access DOI:10.23937/2469-5823/1510174

Examining the Effect of Simulation-Based Teaching in Internal Medicine Nursing on Nursing Students

Ayla Demirtas, PhD, RN, Emine Ozer Kucuk, RN, PhD, Betulay Kilic, RN, PhD and Fatma Ilknur Cinar, PhD, RN

Article Type: Research Article | First Published: July 18, 2022

This study aimed to examine the effect of simulation applications used in the teaching of the 2nd-year internal medicine nursing course and the perceived self-efficacy levels on anxiety, satisfaction with learning, and selfconfidence in students taking the course at the Faculty of Nursing....