Open Access DOI:10.23937/2474-3658/1510250
A Comparative Study of Acinetobacter Infections in COVID and Non-COVID Patients
Rayeesa Faheem Syed, MBBS, MS, Sadhana Yelamanchili, MD, FRCPath and Srinivas Thati, MBBS, MS, MRCS, FRCS
Article Type: Case Series Study | First Published: February 10, 2022
Acinetobacter species are associated with high mortality, with A. baumannii being associated with a significant number of hospitals acquired infections worldwide. Multidrug resistance makes it challenging to control or treat these infections. Aim of this study is to evaluate the risk factors and compare the clinical outcomes of Acinetobacter infections in a tertiary care hospital, in COVID and non COVID patients. A retrospective observational study was conducted. A list of all cases with positiv...
Open Access DOI:10.23937/2469-5807/1510123
High Expression of RAGE and HMGB1 in Lung Tissue of Decedents with COVID-19 and Diabetes
Yared Tekabe, Anjali Saqi, Geping Zhang, Monica Goldklang and Lynne L Johnson
Article Type: Original Research | First Published: February 17, 2022
Serum biomarker studies on patients with severe COVID-19 lung disease indicate that increased ligands for Receptor for Advanced Glycation End-products (RAGE) and diabetes are risk factors for severe acute respiratory distress syndrome (ARDS). To investigate in situ RAGE expression in coronavirus disease-19 (COVID-19) ARDS, we obtained lung tissue from autopsies performed on COVID-19 decedents with clinical ARDS and corresponding pathology showing diffuse alveolar damage (DAD) both with and witho...
Open Access DOI:10.23937/2643-4563/1710036
Bladder Neuroendocrine Carcinoma: About Five Cases and Review of the Literature
Maryam Zaouit, Farida Marnissi, Hassan Jouhadi, Nadia Benchekroun, Asma Elkbir, Souha Sahraoui and Abdellatif Benider
Article Type: Case series | First Published: February 07, 2022
This is a retrospective descriptive study of five cases of neuroendocrine carcinoma of the bladder collected at the Mohammed VI Center, between January 2017 and December 2020. The diagnosis was confirmed by immunohistochemical study. The median age is 61 years (extremes: 36-73 years), all patients are male. The average delay of consultation is 7 months (extremes: 2-12 months). Chronic smoking was found in three patients. Hematuria was the cardinal sign in 4 cases. Irritative urinary disorders su...
Open Access DOI:10.23937/2474-3674/1510140
Transient Asystole Linked to Dexmedetomidine Infusion
Noelle Provenzano, DO, Olivia Johnson, PharmD, BCCCP, Aaron Brophy, DO and Jaber Monla-Hassan, MD
Article Type: Case Report | First Published: February 17, 2022
Five adult medical, critically ill patients developed bradycardia leading to asystole while receiving dexmedetomidine infusion. This is a case series of five adult patients obtained from the medical intensive care unit in a community teaching hospital between May 2019 through August 2020. These patients were each receiving dexmedetomidine infusion while on invasive mechanical ventilation leading to periods of asystole that resolved after stopping dexmedetomidine infusion in all five patients. Th...
Open Access DOI:10.23937/2474-3674/1510139
Hyperglycemic Crisis: A Serious Complication of Unknown Type II Diabetes Mellitus in Adolescent
Elisa, MD and Pratiwi Woro R, MD PhD
Article Type: Case Report | First Published: February 11, 2022
Hyperglycemic crisis is life threatening condition in diabetic patients. Traditionally, diabetic ketoacidosis (DKA) has been associated with decompensated type 1 diabetes (T1D) and Hyperosmolar Hyperglycemic State (HHS) became a hallmark of type 2 diabetes (T2D). However, DKA is increasingly being reported in patients with T2D. We reported a case of DKA with some features of HHS, as an initial presentation, in a boy with unknown T2D at young age. Prompt diagnosis and acute critical care approach...
Open Access DOI:10.23937/2474-3674/1510138
Emergency Medical Rescue Services in Dhaka City, Bangladesh: A Situational Analysis and Needs Assessments
Mohammad Mojahidul Hossain, Axel Kroeger, Kamelia Pervin, George Norwood, Be-Nazir Ahmed, Manzur Kadir Ahmed and Hans-Joerg Busch
Article Type: Original Article | First Published: February 10, 2022
Deaths and disabilities due to the lack of proper Emergency Medical Rescue Services (EMRS) is a global public health concern, also in Dhaka city, Bangladesh. The study aimed at contributing to improve the EMRS in Dhaka city by assessing and identifying major shortcomings with possible solutions. The study was conducted in July/August 2017, after analyzing medical and relevant records, a one week observational study was conducted in 4 purposively selected hospitals in Dhaka city. The Mode of tran...
Open Access DOI:10.23937/2378-2951/1410248
Mitral Regurgitation in Hypertrophic Cardiomyopathy: A Narrative Review of Mechanism and Current Management
Ashraf M Anwar, MD, PhD, FESC
Article Type: Review Article | First Published: February 10, 2022
Significant mitral regurgitation (MR) is frequent in patients with hypertrophic cardiomyopathy (HCM) either obstructive or non-obstructive. Many studies described that significant MR is associated with poor long-term outcome of HCM patients, which indicate the importance of an adequate MR assessment including detailed evaluation of the mitral valve (MV) anatomy. Mitral malformations have been identified in HCM at all levels. They occur in the MV leaflets with a wide array of malformations of the...
Open Access DOI:10.23937/2690-3164/1710013
Surgical Management of Coronary Artery Disease in Al-Thawrah Hospital Sana’a, Yemen 2018 To 2020
Nabeel Al-Mudhwahi, MD,PhD and Abeer Shaia'a Naji Sa'adan, MD
Article Type: Original Article | First Published: February 10, 2022
The incidence of ischemic heart disease (IHD) is increasing worldwide. The number of patients with IHD with or without interventions coming for non-cardiac surgical procedures are increasing. These patients have an increased risk of myocardial ischemia, myocardial infarction (MI), conduction disturbances, morbidity, and mortality during the perioperative period. This study aimed to assess the surgical management of ischemic heart disease patients in Al- Thawrah hospital Sana’a Yemen from 2018 ...
Open Access DOI:10.23937/2643-4512/1710073
A Prescription Refill Intervention to Improve Patient and Physician Satisfaction
Daniel P. Dunham, MD, MPH and Christopher Cheney, MHA
Article Type: Original Article | First Published: February 17, 2022
Physician burnout has been increasing over the past decades. This phenomenon is found throughout the world and is multifactorial. Some causes are easily identified and treatable. Of the remedial causes, improved practice efficiency is one that deserves attention. Time spent directly with patients will always be a core component of health care. Provider time spent away from direct patient care is often a cause of frustration and should be minimized. High quality communication between patients and...