Open Access DOI:10.23937/2469-5718/1510209

Benefits of Concurrent Aerobic-Resistance Interval Exercise in Patients with Chronic Obstructive Pulmonary Disease

Carolina Aristizábal, Oscar Ortiz, Emily J. Walsh, Mario Leone and Alain S. Comtois

Article Type: Research Article | First Published: December 12, 2021

Physical training of lower leg skeletal muscle has been shown to increase exercise tolerance in Chronic Obstructive Pulmonary Disease (COPD) patients. The objective of this study was to measure the effect of concurrent aerobic-resistance interval exercise on lower leg muscle function and local muscle tissue oxygenation in the vastus lateralis muscle (VLM) of COPD patients. Peripheral muscle oxygenation in the VLM was measured using Near Infrared Spectrometry (NIRS) during the six- minute walk te...

 Open Access DOI:10.23937/2469-570X/1410073

Regulatory Prospects of Clinical Trials with Stem Cells in the United Arab Emirates

Yandy Marx Castillo-Aleman, MD, Yendry Ventura-Carmenate, MD, Rene Antonio Rivero-Jimenez, Ph.D and Antonio Alfonso Bencomo-Hernandez, Ph.D

Article Type: Commentary | First Published: December 04, 2021

Health research and clinical trials are driving the development of valuable medical knowledge. Many types of clinical research have been conducted in the United Arab Emirates (UAE) by governmental and private health providers in recent years, and a growing number of publications and UAE-based clinical trials have been registered worldwide. However, there are wide differences between the Emirates regarding the policies governing emerging stem cell therapies. This article aims to discuss the regul...

 Open Access DOI:10.23937/2378-3516/1410165

A Unique Presentation of Pulmonary Langerhans Cell Histiocytosis

Varun Srivatsav, MD and Kelsey Tallon, MD

Article Type: Case Report | First Published: December 10, 2021

Pulmonary langerhans cell histiocytosis (PLCH) is a diffuse lung disease that primarily affects young adults, with cigarette smoking playing a significant role in developing the disease. Patients with PLCH present with characteristic CT chest findings of small irregular nodules and upper zone cysts. Previously, larger nodules greater than 10 mm and cavitation have only been reported a few times in the literature. We describe the case of a 69-year-old male who presented with dyspnea, non-producti...

 Open Access DOI:10.23937/2378-3516/1410164

Pneumonia Due To Stenotrophomonas maltophila in the Immunocompetent Patient: A Case of Environmental Exposure

Ana Cardoso

Article Type: Letter to Editor | First Published: December 10, 2021

Stenotrophomonas maltophilia is a multi-resistant gram-negative bacterium, an opportunistic agent generally associated with nosocomial infections, particularly in immunocompromised patients, being usually found in the intensive care setting. However, its prevalence in patients without predisposing risk factors is very rare. We have identified and successfully treated a healthy, immunocompetent patient who developed a community acquired severe S. maltophilia pneumonia. We report the case of a 24-...

 Open Access DOI:10.23937/2378-3516/1410163

Prevalence and Outcomes of Systemic Sclerosis-Associated Interstitial Lung Disease at a Tertiary Level Hospital in KwaZulu Natal, South Africa: A Retrospective Review

Salah Tanish, Kennedy Nyamande and K de Vasconcellos

Article Type: Research Article | First Published: December 10, 2021

Interstitial lung disease (ILD) is one of the most serious complications among patients with scleroderma. It is associated with significant morbidity and mortality. Little is known about the epidemiology of scleroderma associated ILD in sub-Saharan Africa. Thus, we aimed to determine the prevalence, clinical characteristics and outcomes of patients with scleroderma -ILD. A retrospective electronic chart review was conducted of patients with systemic sclerosis seen between January 2010 and Decem...

 Open Access DOI:10.23937/2572-3235.1510085

A Mathematical Approach Evaluation of Dose Area Product (DAP) Using to Patients Undergoing Intravenous Urography Examinations in Addis Ababa, Ethiopia

Muhdin Abdo and Seife Teferi

Article Type: Research Article | First Published: December 15, 2021

Patient dose evaluation is one of the quality assurance programs. Dose area product is a product of surface area of patient that exposed to radiation at the skin entrance multiplied by the radiation dose at the surface. This research focused on a dosimetry, DAP, for specific X-rays examination which is known as Intravenous Urography examination. A cross-sectional study was conducted on 145 adult patients age above 16 years examined using IVU in Addis Ababa, Ethiopia at two public and two private...

 Open Access DOI:10.23937/2572-3235.1510084

The Role of Diagnostic Medical Imaging Techniques in the Evaluation of Perianal Fistula: A Review

Adityan R, BSc and Jerald Paul Immanuel

Article Type: Review Article | First Published: December 15, 2021

The fistula in ano or perianal fistula is one of the common fistulae noted in routine surgical and clinical practice. It has the tendency to reoccur even after surgery, which is due to missed pathological tract or tissue during surgical exploration. An adequate pre-surgical mapping is a necessity for giving an excellent surgical outcome and choosing an appropriate surgical technique for treating various fistulas. So, medical imaging modalities like X-ray fistulography, endoanal ultrasonography, ...

 Open Access DOI:10.23937/2572-3235.1510083

Evaluation of the Patterns of Benign Bone Tumors and Tumor-like Lesions: A Retrospective Survey

Tuna Demirbas, MD

Article Type: Original Research | First Published: December 08, 2021

The aim of this study was to retrospectively evaluate epidemiology, distribution and radiological features of newly diagnosed benign bone tumors and tumor like lesions in our radiology department. Computed tomography (CT) and/or magnetic resonance imaging (MRI) examinations performed between January 2018 and December 2019 in musculoskeletal radiology section were retrospectively re-evaluated by an experienced radiologist according to age, gender, radiological classification and location. There w...

 Open Access DOI:10.23937/2469-5769/1510082

Complementary and Alternative Medicine among Inpatient Pediatric Under One Year of Age in Baghdad City-Iraq

Suadad J Al-Daboony, MBCHB-FICMS(CM)

Article Type: Cross-Sectional Study | First Published: December 16, 2021

Complementary & alternative medicine popular in Iraq, its use from many age group but shortage of data is available about uses of traditional medicine in pediatric. The aim of this study to measure the prevalence of complementary and alternative medicine CAM (one type of CAM called saqua) use in acutely sick children (complaining from gastro intestinal symptom) and factors associated with it. This is a cross-sectional study, hospital-based study in a tertiary center of Baghdad City- Iraq from t...

 Open Access DOI:10.23937/2643-4563/1710032

Nivolumab Induced Acute Pancreatitis and Hyperbilirubinemia

Unnati Bhatia, MD, Suryansh Bajaj, MD, Darshan Gandhi, MD, Divyansh Bajaj, MD

Article Type: Case Report | First Published: December 05, 2021

Immune checkpoint inhibitors (ICIs) are a novel treatment modality that is quickly becoming the standard of care for the management of a multitude of neoplasms. While immunomodulation is a promising approach, it also carries a risk of immune-related adverse effects (irAEs). Nivolumab is an FDA-approved anti-programmed death-1 (anti-PD-1) checkpoint inhibitor. Nivolumab-induced, immune-related pancreatitis, and hyperbilirubinemia are rare but clinically significant examples of irAEs. Early recogn...