Open Access DOI:10.23937/2378-3656/1410369
Systemic Quinolones and Risk of Retinal Detachment II: Systematic Review of Clinical Trials
Mohamed Kadry Taher, Mohamed Habsah, Lise M Bjerre, Franco Momoli, Donald Mattison and Daniel Krewski
Article Type: Review Article | First Published: October 31, 2021
Quinolones represent a popular group of antibiotics that is favored by physicians due to their potency, broad-spectrum, unique mechanism of action, and reasonable safety. Concerns have been raised about a possible association between quinolones and retinal detachment (RD). Despite the emergence of resistance and availability of other treatment alternatives, quinolones remain a popular choice among physicians worldwide. This systematic review examined all original clinical trials in which a quino...
Open Access DOI:10.23937/2643-4474/1710088
Spontaneous Outflow Venous Thrombosis of an Unruptured Arteriovenous Malformation in the Setting of COVID-19 Infection
Camarano JG, Hrushka JM, Allison RZ, Robledo A, Raghuram K and Kan P
Article Type: Case Report | First Published: October 30, 2021
A 63-year-old man with a known left frontal AVM presented with a recent increase in seizure activity. Approximately two weeks prior to admission the patient was found seizing and febrile with a temperature of 38.2 °C. At that time the patient had reported a one-week history of dry cough, shortness of breath and dyspnea on exertion. Nasopharyngeal swab testing with polymerase chain reaction (PCR) was positive for SARS-CoV-2. The patient’s left frontal lobe AVM was first identified in 2007 with...
Open Access DOI:10.23937/2572-4193.1510111
Utilizing Physician Assistants for In-Office procedures in Outpatient Otolaryngology Clinic
Tiffany E. Heikel, PA-C and Jessyka G. Lighthall, MD, FACS
Article Type: Commentary | First Published: October 29, 2021
Physician assistants (PAs) as medical providers have evolved since 1967 when the occupation was first established. Utilization of PAs has expanded to include procedures in multiple subspecialties. There is controversy over PAs performing in-office procedures but we propose a training paradigm to obtain competency and perform in-office procedures in Otolaryngology outpatient clinics. Consideration for state laws and facility or institution protocols is required prior to starting proctoring. Howev...
Open Access DOI:10.23937/2469-5793/1510142
Adapting the Shared Medical Appointment Model for the Management of Anxiety in Primary Care
Kara A Frame, MD, Ruben Tinajero, Ph.D, Hanna Raber, Pharm D and Katherine T Fortenberry, Ph.D
Article Type: Brief Report | First Published: October 30, 2021
Anxiety disorders are highly prevalent and negatively impact the health of millions of people worldwide. Primary care physicians are often the first providers who diagnose and treat anxiety disorders. Unfortunately, many patients lack access to mental healthcare services to address their difficulties with anxiety. Prior research indicates that the Shared Medical Appointment (SMA) model is highly effective in addressing chronic illnesses. This pilot study aimed to present one primary care clinicâ...
Open Access DOI:10.23937/2469-5750/1510109
Treatment and Management of Scabies Patient with Secondary Infection in a 3-Year-Old Girl: A Case Report
Diah Mira Indramaya, Andre Yuindartanto, Yuri Widia, Irmaditra Citrashanty, Sawitri and Iskandar Zulkarnain
Article Type: Case Report | First Published: October 29, 2021
Scabies is a skin disease caused by infection with the mite Sarcoptes scabiei. The development of this disease is also influenced by low socioeconomic conditions, poor hygiene levels, lack of knowledge, and errors in diagnosis and management. Internal and external examinations were carried out on patients related to personal hygiene behavior factors. Primary data were obtained through history taking (alloanamnesis), physical examination, and laboratory tests at Dr. Soetomo Hospital, Surabaya. A ...
Open Access DOI:10.23937/2469-567X/1510078
Structural Racism and HIV Risk: Low African American Male to Female Sex Ratio and HIV Diagnosis Rates by State
Leonard Anang Sowah, MBChB, MPH, FACP and Brittany Yerkes, PA, MSc
Article Type: Brief Communication | First Published: October 28, 2021
HIV diagnosis rates in the US differ significantly by race and ethnicity. There are also geographic differences in HIV diagnosis rates across US states and regions. The determinants of these differences are not always easy to disentangle. Some believe structural racism may contribute to the differences in HIV diagnosis by race. This may also explain state and regional variations in HIV diagnosis. Using data from the 2010 US census and 2010 HIV surveillance data from CDC we did a test to determin...
Open Access DOI:10.23937/2378-3419/1410161
Proposed Immunology of the Spontaneous Remission of Leukemia
Behzad Niakan
Article Type: Research Article | First Published: October 29, 2021
Spontaneous remission of leukemia is more likely to occur after anti-biotic treatment of an infection, termination of pregnancy, blood transfusion and host versus graft reaction. All have in common a drop in platelet count followed by a rise in platelet count. Spontaneous remissions of leukemia may be preceded by a low platelet count, anemia or low hemoglobulin. Also, once spontaneous remission of leukemia occurs there may be a simultaneous rise in platelet count and hemoglobulin. The drop and r...
Open Access DOI:10.23937/2378-3656/1410368
Laparoscopic Resection of a Gastric Lipoma: A Case Report
Mohammed Najih and Aziz Zentar
Article Type: Images | First Published: October 30, 2021
Lipomas are slow growing benign tumors that develop in fat tissues. Gastric lipomas account for only 5% of all gastrointestinal lipomas. Although they are usually asymptomatic and detected incidentally. We report a new case on a 54-year-old male patient admitted to our clinical complaints of a vague lump in the upper abdomen, regarding a feeling of fullness in the stomach and early satiety for 10 months, no pathological finding was made. The Gastrointestinal Endoscopy showed the existence of a m...
Open Access DOI:10.23937/2378-3656/1410367
Rhabdomyolysis Associated Acute Kidney Injury Following a Physical Violence
Yalini Thivaharan and Indira Deepthi Gamage Kitulwatte
Article Type: Case Report | First Published: October 30, 2021
Physical violence can lead to serious and, rarely, fatal injuries. In addition to head injury, which is the leading cause of death and long-term disability, injuries of the musculoskeletal system and internal organs are important cause of assault-related morbidity. This paper discusses such rare complication of an interpersonal violence - rhabdomyolyis associated with Acute Kidney Injury (AKI). A 37-year-old man who claims to be assaulted by a group of people, presented with focal contusions and...