Open Access DOI:10.23937/2474-1353/1510125
When is HRT the Solution?
Nancy L. Belcher, PhD., MPA
Article Type: Commentary | First Published: September 27, 2021
Menopause, and the phase that leads up to it, called perimenopause, are normal and natural events that can start anywhere between 35-55 years of age. Menopause and perimenopause are transition periods wherein the levels of estrogen, progesterone, and testosterone decrease. Replacing those lost hormones is easy with hormone replacement therapy (HRT). HRT in menopause has been proven the most effective treatment for many menopause symptoms. While there is no ‘treatment’ for menopause, there ar...
Open Access DOI:10.23937/2469-567X/1510076
A Review on Interventions against COVID-19
Sintayehu Tsegaye Tseha
Article Type: Review Article | First Published: September 24, 2021
COVID-19 remains the main public health problem in the world. The major objective of this review is to discuss interventions that have been employed against COVID-19. The preventive and control measures that have been employed against COVID-19 include: staying at home, social and physical distancing, quarantine, washing hand with sanitizer, using face mask, immunization, timely diagnosis and treatment of the disease. In spite of its high false negative rate, real time-PCR remains the gold standa...
Open Access DOI:10.23937/2469-5718/1510203
Exertional Rhabdomyolysis: A Case Report of an Exceptionally Elevated Serum Creatine Kinase (CK) Level
Jonathon Kyriakides, BSc, MBBS, Aria Khani, BSc, MBBS, MRCP and Rahul Khamar, BSc, MBBS
Article Type: Case Report | First Published: September 30, 2021
Serum Creatinine Kinase (CK) is used as a diagnostic and prognostic marker in rhabdomyolysis. We present 32-year-old male with exertional rhabdomyolysis following a spin cycling class, with a peak serum CK level of 332,200 U/L. He was admitted for intravenous fluid therapy and then followed-up in the outpatient setting; renal function remained stable throughout. We review the literatures and explain why a combination of patient and environmental factors are important in the pathogenesis of exert...
Open Access DOI:10.23937/2469-5718/1510202
Prevalence and Pattern of Musculoskeletal Injuries among Recreational Weightlifters in Nnewi, Nigeria
Chidile Muonwe, Samuel Chidiebere Nwobi, Chiedozie James Alumona, Chukwuebuka Okeke, Chiamaka Ann Nwanne, Ifeoma Blessing Nwosu, Ifeoma Adaigwe Amaechi, Christian Arinze Okonkwo, Ogochukwu Umeonwuka, Ezinne Chika Ekediegwu, Uzoamaka Nwakaego Akobundu and Stanley M Maduagwu
Article Type: Research Article | First Published: September 30, 2021
Weightlifters are prone to musculoskeletal injury. However, studies on the prevalence and pattern of musculoskeletal injuries among weightlifters in Nigeria are not available. Therefore, this study investigated the prevalence and pattern of musculoskeletal injury among recreational weightlifters in Nnewi, Nigeria and explored the association between the prevalence of injury and sociodemographic, and training characteristic variables. Ninety-one recreational weightlifters participated in this cro...
Open Access DOI:10.23937/2469-5718/1510201
Progressive Upper Compartment Functional Strength Training on Postural Muscle Force: In Volleyball Players
Yeliz Kahraman
Article Type: Research Article | First Published: September 27, 2021
Postural muscle force leads to a increase in functional movement and associated ability of strength. The author examined changes in shoulder and humerus strength, maximum isometric joint angular degree force after functional upper strength training in volleyball players. They evaluated isometric joint angular force degree as predictors of functional strength. Functional strength group increased significantly (p < 0.05) for all angular strength. Compared with controls, to functional strength led ...
Open Access DOI:10.23937/2378-3516/1410161
Presence of a Hernia Sac Does Not Impact Lung Perfusion in CDH
Akila B Ramaraj, MD, Guy Jensen, MD, MPH, Bre Anna Kinghorn, MD, MS and Rebecca A Stark, MD
Article Type: Research Article | First Published: September 30, 2021
There are variable long-term pulmonary outcomes of children with congenital diaphragmatic hernia (CDH). Diagnostic modalities evaluating pulmonary function can be limited by patient compliance. Pulmonary perfusion scintigraphy is a diagnostic tool to evaluate lung development in younger children. Presence of a hernia sac is known to correlate with less severe disease but little has been reported on any correlation with lung size and function. The purpose of this study was to evaluate the relatio...
Open Access DOI:10.23937/2378-3516/1410160
Streptococcus Constellatus Empyema Presenting With Undulant Fever Pattern- A Case Report and Literature Review
Bistees George, BS, BA, Nouman Tanveer, DO and Michael Boyars, MD
Article Type: Case Report | First Published: September 29, 2021
Streptococcus anginosus group (SAG), or milleri group streptococci (MGS), is an uncommon group of bacteria that has been increasingly affecting the adult population. It is an interesting organism in that it is intensely pyogenic when pathogenic-much in the same character as Staphylococcus aureus. SAG includes three species: Streptococcus anginosus, Streptococcus intermedius, and Streptococcus constellatus. Members of the SAG are usually part of the indigenous oral, gastrointestinal, and genitour...
Open Access DOI:10.23937/2572-3235.1510077
A New CT Perfusion Analysis Algorithm without Deconvolution: FiTT
Hiroshi Iimura and Atsushi Senoo
Article Type: Original Article | First Published: September 30, 2021
We propose a new CT perfusion analysis algorithm without deconvolution: Theoretically calculating the time-enhancement curve (TEC) under various perfusion conditions, finding a theoretical TEC that best fits the observed TEC, and using the theoretical TEC’s perfusion parameters as the estimations for the observation point (FiTT). The FiTT analysis procedure was as follows: First, the TEC of the arterial input function (AIF) was fitted to the gamma distribution function. Next, we defined the re...
Open Access DOI:10.23937/2469-5734/1510134
Multidisciplinary Approach to Management of a Large Cyst in the Mandible - A Case Report
Fatima Shoaib, Leena Al Salihi, Fatema Alsulaiti, Fadheela Haider, Nadia Ebrahim Al-Sikri, Mohammed Helal and Gowri Sivaramakrishnan
Article Type: Case Report | First Published: September 29, 2021
Most jaw cysts originate from odontogenic epithelium and they may be associated with vital or non-vital tooth. Cysts are classified into developmental, neoplastic and inflammatory. There is overall predominance in males, and the mandible is three times affected more than the maxilla. The aim of this case report is to describe a multidisciplinary conservative approach to manage mandibular cystic lesion confined lingually to the anterior region. The clinical, radiographic, and histopathological ex...
Open Access DOI:10.23937/2469-5696/1410069
Assessment of the Usefulness of Red Cell Indices as a Screening Tool in Haemoglobin E Trait: A Cross Sectional Study
DMHMK Dassanayake, VCP Gunawardena and SB Athauda
Article Type: Original Article | First Published: September 29, 2021
HamoglobinE (HbE) is the second commonest structural haemoglobin variant and results from mutation in the β globin gene causing substitution of glutamic acid for lysine at position 26 of the β globin chain. When coinherited with β Thalassemia it becomes a major health burden. To assess the effectiveness of red cell parameters as a screening tool to identify haemoglobin E traits and to develop a score using red cell parameters which help to identify Haemoglobin E traits in population screening...