Open Access DOI:10.23937/2474-3690/1510064

A New Approach to Validate the Use of Brachial Blood Pressure to Assess Non-Invasive Aortic Pressure in Human Beings

Franco Pessana, Eng, PhD, Ramiro Sánchez, MD, PhD, Gustavo Lev, MD, PhD, Micaela Mirada, MD, Oscar Mendiz, MD, PhD, Agustin Ramírez, MD, PhD and Edmundo Cabrera Fischer, MD, PhD

Article Type: Original Article | First Published: December 24, 2021

It has been demonstrated that the noninvasive evaluation of aortic blood pressure has a prognostic value but limited by the inaccuracy linked to technical errors and a differences in the pressure wave analysis. The aim of this study was to compare two methods used to validate the non-invasively central blood pressure waveforms obtained with an oscillometic device, with those recorded by intra-arterial measurements at the aortic level. In this study were included 20 subjects, 10 males (68 ± 12-y...

 Open Access DOI:10.23937/2572-3235.1510086

Unusual Spontaneous Renal Calyceal Rupture Secondary to Ureteric Stricture - Literature Review and Case Report

Zahra SM Husain, MD, Alaa Ayad, Ahmet Aslan and Husham Bakry

Article Type: Case Report | First Published: December 13, 2021

Rupture of the urinary collecting system is an unusual condition caused by a variety of causes, with obstructive ureteric calculi being the most common cause. The diagnosis is often delayed due to fact that it is rarely seen in daily practice and patients exhibit non-specific symptomatology at the time of presentation. Contrast-enhanced computed tomography usually confirms the diagnosis when contrast extravasations are seen in the excretory phase. Establishing an early diagnosis is crucial to av...

 Open Access DOI:10.23937/2469-5769/1510083

Lead Poisoning in Pediatric Groups: A Global Burden of Disease

AB Adeyiga

Article Type: Review Article | First Published: December 17, 2021

Lead poisoning is a major public health issues that affect pediatric age group with different multi-organ damage. In children for instance, it has been discovered that there is no small level or appreciable quantity of lead exposure that is safe for children because of developmental growth and cognitive development at this very crucial stage of life. Children are at very high risk because of their handto- mouth explorative behaviors at this developmental age thereby leading to unintentional inge...

 Open Access DOI:10.23937/2572-4037.1510056

Effectiveness of Different Interventions to Reduce Anxiety in Oncological Patients during PET/CT Studies: A Randomized Controlled Pilot Study

Alberto Martínez-Lorca, MD, PhD, Manuela Martínez-Lorca, PhD, and Maria Dolores Cabañas Armesilla

Article Type: Original Article | First Published: December 23, 2021

The purpose of this investigation was to find the anxiety levels, physical data and subjetive perception and explore the relationship between demographic, clinical and cancer patients’ variables, pre and post-procedure during a PET/CT scan. The sample was distributed in five groups: 54 in one of the four experimental groups and 54 inthe control group (oral information, witten information, music, meditation induction). The study was conducted using an ad hoc questionnaire and the standardized S...

 Open Access DOI:10.23937/2572-4037.1510055

The Function of Transference Interpretations in Klenian Therapy

Deniz Coşan

Article Type: Review Article | First Published: December 18, 2021

In this paper, the function of transference interpretation in Kleinian therapy is evaluated. In the beginning, definition of transference and transference interpretation is given in general terms. The term of transference refers to attributed emotions, attitudes, and phantasies from past towards a person in the present that are inappropriate for that person. Transference interpretations aim to reveal inappropriate attributions towards the therapist made by the patient. The term of transference o...

 Open Access DOI:10.23937/2572-4215.1510022

Ultrasound-Guided Intervention in a Sacroiliitis after Cancer Consequence or Coincidence? A Case Report and Review

Inês Ferro, Pedro Carvalho Sá, César Pires, Filipe Carvalho and João Constantino

Article Type: Case Report | First Published: December 24, 2020

The cancer population is exposed to exceptional factors that might favor sacroiliac joint (SIJ) pain, including the cancer itself and therapy-related side effects. Yet, they are also subject to aging and structural changes. The diagnosis and treatment can be a challenge. We report a male with SIJ pain and functional repercussion after anal cancer treatment, without signs of recurrence or metastasis. The provocation tests were compatible with sacroiliitis. An ultrasound-guided injection was perfo...

 Open Access DOI:10.23937/2378-3419/1410164

Mucosal Reconstruction with Nasal Lateral Wall Flap after Rhinectomy: Two Case Reports

Claudia Esper Zamar, Elián García Pita, Ana Laura Cajelli and Carlos Santiago Ruggeri

Article Type: Case Report | First Published: December 17, 2021

Two patients who had squamous cell carcinomas of the nasal cavity with extension to the nasal septum and previous treatments with surgery and in another with surgery and radiotherapy were treated by rhinectomy. The reconstruction of the internal mucosal lining was done with mucoperiosteal flaps from the lateral nasal wall with anterior pedicle with the assistance of endoscopes. There are few descriptions in the literature of the use of this flap to reconstruct the inner lining after rhinectomy. ...

 Open Access DOI:10.23937/2474-3674/1510132

Lung Recruitment Guided by Ultrasonography in Unilateral Lung Injury

Roosevelt Santos Nunes, Larissa Christina Pires Barrientto, Viviane Barbosa Silva, Kamila da Grazia Iazzetta, Taiana Bertacini Almas de Jesus and Gil Cezar Teixeira Alkmin

Article Type: Case Report | First Published: December 18, 2021

Atelectasis is a common problem in the critical care setting and when it causes acute life-threatening hypoxemia it is necessary its re-expansion. Ultrasonography is capable to diagnose atelectasis at the bedside and accurately assesses lung aeration changes after reexpansion maneuver. We describe a case in which a male patient receiving mechanical ventilation developed acute hypoxemia due atelectasis, being applied recruitment maneuver guided by ultrasonography combined with lateral decubitus p...

 Open Access DOI:10.23937/2377-4630/1410129

Acute Kidney Injury in the Perioperative Period: Beyond the Obvious

Diego Escarramán Martínez, Manuel Alberto Guerrero Gutiérrez, José Antonio Meade Aguilar, Miguel Ángel Martínez Rojas, Orlando Rubén Pérez Nieto, Bertha M Córdova Sánchez, Eder Ivan Zamarrón Lopez and Jesús Salvador Sánchez Diaz

Article Type: Perioperative Care | First Published: December 18, 2021

Acute kidney injury (AKI) represents a great challenge for the anesthesiologist during the perioperative period, since its presence directly impacts in patients mortality and morbidity, even after its resolution as a result of multiples factors. Furthermore, it is characterized by coexisting with a great variety of systemic alterations, which add special difficulty to its study and understanding. During perioperative period there may be ischemic insult and non-ischemic insult, on the other hand,...

 Open Access DOI:10.23937/2378-3656/1410376

Bilateral Lung Transplantation Due to Sjögren’s Syndrome in a Patient with Klinefelter Syndrome

Beauperthuy Levy Thais, MD, Anguera de Francisco Gabriel, MD, Fonfría Esparcia Carles, MD and Mancheño Franch N, MD

Article Type: Case Report | First Published: December 24, 2021

Klinefelter syndrome is one of the most frequent congenital chromosome disorders. Autoimmune diseases are not uncommon in patients with Klinefelter syndrome and associations between them have long been described. However, there is a paucity of literature regarding the effect of hypogonadism on respiratory system in these patients. Herein, we described a 28-year-old patient who presented with a constellation of unexplained respiratory signs and symptoms, such as tachypnea, hypoxemia, crackles rec...