Open Access DOI:10.23937/2378-2951/1410240

A Case Report of Pre-excited Atrial Fibrillation Encounters Ebstein's Anomaly: Is Amiodarone a Good Alternative Choice?

Hsiang-Wei Yang and Wai-Kin Wong

Article Type: Case Report | First Published: October 23, 2021

This is a case report of a 39-year-old man who presented to the emergency room with atrial fibrillation (AF), pre-excitation, and Ebstein's anomaly (EA). Currently, there was no suggestion of pharmacologic management if the patient declines surgical or catheter ablation therapy. A review of the literature concluded that amiodarone may be a suitable therapy for the pharmacological management of this patient. This 39-year-old man experienced occasional palpitations but on this occasion, the palpit...

 Open Access DOI:10.23937/2643-4512/1710066

Evolution of COVID-19 in Elderly Patients: The Need to Focus on Post-COVID-19 Syndrome

Carmen Carolina Domínguez-Gutiérrez, Manuel Alejandro Jaramillo-Acosta, Julio César Mantilla- Pardo and Michael Gregorio Ortega-Sierra

Article Type: Commentary | First Published: October 28, 2021

The COVID-19 pandemic has raised many questions about the long-, medium- and short-term prognosis of this disease. Studies such as that of Sosa Frias, et al. where the authors inquired about prognostic factors of the evolution of patients who developed the severe phenotype of COVID-19, who required invasive ventilation and died, showing that the leukogram and the initial chest X-ray are predictors of unfavorable evolution [1]. However, it is necessary to widen the time window of the short- and m...

 Open Access DOI:10.23937/2469-5823/1510168

Is Web Based Training Effective on Nursing Skills in Multimodal Analgesia?

Kübra Yilmaz, Sema Koçaşli and Sevinç Taştan

Article Type: Research Article | First Published: October 23, 2021

The control high prevalence of pain in the world is possible with successful pain management and prevention of pain-related complications. The nurse must have adequate knowledge and skills to be able to manage the pain effectively. The purpose of this study is to compare the knowledge, skills, preferred non-pharmacological pain control methods, satisfaction and self-confidence of students who study and control groups. Sample size was determined by power analysis. A total of 69 students were rand...

 Open Access DOI:10.23937/2643-4008/1710014

Liposomal Amphotericin-B in Saline Shows Promising Efficacy against Candida auris compared to Azoles, Echinocandins and Other Amphotericin-B Formulations in Dextrose and Deoxycholate Suspension

Vijay Pancholi

Article Type: Brief Note | First Published: October 25, 2021

Fungal infection caused by Candida auris is now a global crisis. However, its multidrug-resistant nature and onerous identification have left limited therapeutic options resulting in 30-60% mortality. Amphotericin-B (AmB), a broad-spectrum and a potent fungicidal with a rare resistance pattern, is considered a gold-standard antifungal drug. Yet, its antifungal potential is not fully recognized under the pretext of its potential nephrotoxicity. Liposomal AmB formulations are safer than AmB-Deoxyc...

 Open Access DOI:10.23937/2474-3682/1510189

Infected Multilocular Renal Cyst and its Challenging Approach

Carla Pereira Fontes, Andreia M Teixeira and Samuel Fonseca

Article Type: Medical Image | First Published: October 23, 2021

An 80-year-old woman with a history of metabolic syndrome, ischemic heart and cerebrovascular disease was admitted at the emergency department with asthenia and left abdominal and flank pain. She was on day 5th of empiric cefuroxime for urinary tract infection. On physical examination, the patient was febrile, but hemodynamically stable; an abdominal mass in the left flank was evident and painful on deep palpation; ipsilateral Murphy’s sign was present. Laboratory studies showed a marked eleva...

 Open Access DOI:10.23937/2643-3907/1710060

Coronal Mentoplasty: Complementary Technique in Orthognathic Surgery: Cases Report

Francisco Yévenes, Gastón Salas, Jorge Lolas, Emilio Moreno and Pedro Solé

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

Both vertical and horizontal maxillo-mandibular discrepancies lead to poor positioning of the tissues, causing alterations in functionality and aesthetics, which today are corrected with increasingly specific procedures. Mentoplasty allows modifying the anatomy of the chin in the 3 senses of space. There are cases in which a receding Mentoplasty or Genioplasty cannot be performed, either due to very prominent chins, which cannot be raised to the chin because there are no vertical alterations cau...

 Open Access DOI:10.23937/2377-9004/1410215

Delayed, Stable Presentation of Complete Uterine Rupture

Melody Rasouli, Alyssa Stiff, McKenna Geary and Samet Albayrak

Article Type: Case Report | First Published: November 15, 2021

We present a rare case of fetal demise with delayed presentation of complete UR in a hemodynamically stable, asymptomatic 32-year-old woman with a history of one low transverse cesarean section and two subsequent uncomplicated vaginal births after cesarean delivery (VBAC). Complete prelabor ruptures in women with a previous uterine scar are rare but are associated with catastrophic outcomes. Intrauterine fetal demise should be recognized as a sign, not necessarily a sole diagnosis, until other...

 Open Access DOI:10.23937/2377-9004/1410214

Resuscitation with Intact Cord Reduces the Rate of Asphyxia at 5 Minutes

Lixia Zheng, RM and Hong-yu Zhang

Article Type: Case Report | First Published: November 15, 2021

Retrospective cohort study. Asphyxia babes 104 cases from Jan. 2011 to Dec. 2013 in the seconde maternal and neonate hospital in Jinan Shandong province received immediate cord clamping and transferring to the emergence-bed for the resuscitation process were enrolled as controlled group; experimental group were those asphyxia babes 94 cases from Jan. 2014 to Dec. 2016 where they were resuscitated with intact cord in delivery bed. Data was recorded from the clinical record in the hospital. Inform...

 Open Access DOI:10.23937/2377-9004/1410213

Intramural Pregnancy Misdiagnosed as Gestational Trophoblastic Neoplasia: Case Report and Review of the Literature

Lejing Zang and Yan Hu

Article Type: Case Report and Literature Review | First Published: November 13, 2021

To date, only a few cases of intramural pregnancy have been recorded. We aim to report an uncommon case of intramural pregnancy misdiagnosed as gestational trophoblastic neoplasia, emphasizing that earlier surgical intervention may contribute to timely diagnosis and precise treatment. Relevant articles published over the past five years were identified through a literature searching, and related references in those literatures were also manually searched to find additional articles. Nineteen ...

 Open Access DOI:10.23937/2377-9004/1410212

Intrahepatic Cholestasis in Pregnancy: Increased Surveillance and the Role of Bile Acids in a Patient with History of Fetal Demise

Noah Ryan Begley and Abdalyz Frias Beltran

Article Type: Case Report | First Published: October 11, 2021

Intrahepatic cholestasis of pregnancy (ICP) is a known risk for fetal demise and premature delivery. We describe the case of a third-trimester patient with ICP that would have gone unnoticed based on laboratory reporting. Symptoms presented two weeks after laboratory values consistent with ICP were obtained, and serial labs fell below the threshold despite persistent symptoms. The diagnosis was further complicated when the types of bile acids and the ranges for normal varied between facilities. ...