Open Access DOI:10.23937/2643-4474/1710070
Spontaneous Intracystic Hemorrhage in an Adult with Cerebellopontine Angle Arachnoid Cyst and Management: A Case Report
Joel Passer, MD, Anand Kaul, MD and Rami O Almefty, MD
Article Type: Case Report | First Published: June 24, 2021
Arachnoid cysts are common findings on neuroimaging and account for approximately 1% of all intracranial lesions. The cerebellopontine angle is the second most common location. When arachnoid cysts become symptomatic due to cyst growth, or rarely, cyst rupture, they create mass effect on adjacent neurovascular structures and may require neurosurgical management. This involves a posterior fossa decompression and cyst fenestration with or without cyst fluid diversion. We present a case of a 40-yea...
Open Access DOI:10.23937/2572-4010.1510040
5A’s Behavioral Model Framework on Weight Management
Gabrielle Allsup, FNP-BC and Melissa R Penkalski, DNP, APRN, CPNP-PC, AE-C
Article Type: Original Article | First Published: June 21, 2021
Research shows that the United States adult obesity rate is at the highest national rates ever recorded. These numbers have substantially increased since 2008. Obesity-related health conditions include heart disease, stroke, diabetes and certain types of cancer. This disease is preventable, and can be reversed if providers take action now. Research shows that obesity can be managed with diet, exercise and sometimes medications, but education needs to start at the primary care level. This project...
Open Access DOI:10.23937/2572-3278/1510049
Evaluation of My Nutrition Index in an IBD Patient Population
Chris Gennings, PhD, Laura Manning, MPH, RDN, CDN, Laurie Keefer, PhD
Article Type: Original Article | First Published: June 24, 2021
Measuring overall dietary nutritional value necessary for wellness is complex for healthy individuals, and even more so for patients suffering from complex diseases such as Crohn’s Disease. Clinical dieticians are challenged to provide beneficial dietary advice balanced against using incremental changes in patients’ selected diets to increase long-term adherence to dietary improvements. The My Nutrition Index (MNI) is a validated, personalized nutritional scale based on personal characterist...
Open Access DOI:10.23937/2469-5858/1510115
Performing Hip Fracture Repair within 48 Hours from Admission May Decrease Mortality, the Israeli National Program for Quality Indicators Experience
Yaron Niv, Michael Kuniavsky, Alexander Konson, Olga Bronshtein, Nethanel Goldschmidt, Shuli Hanhart and Hannah Mahalla
Article Type: Original Article | First Published: June 23, 2021
The data were obtained from the Israeli National Program for Quality Indicators. The denominator included all the patients 65-year-old or older who was admitted and operated because of hip fracture, and the numerator included those who underwent surgical repair within 48 hours of admission. There has been a significant improvement in the national level of compliance within 48 hour time span- from 71% in 2013 to 87% in 2018. The success rate for total hip replacement (THR) was 53%, 68%, 74%, 81%...
Open Access DOI:10.23937/2469-5718/1510195
Magnetic Resonance Imaging Depicted Muscle Injuries in Athletes Participating in the Rio De Janeiro 2016 Summer Paralympic Games
Daichi Hayashi, Michel D. Crema, Mohamed Jarraya, Cheri A. Blauwet, Rafael Heiss, Frank W. Roemer, Wayne E. Derman and Ali Guermazi
Article Type: Brief Report | First Published: June 18, 2021
Muscle injuries may affect elite athletes including those competing at the Paralympic Games. We aimed to describe the frequencies, anatomic distribution, and severity of muscle injuries involving Paralympic athletes during the Rio de Janeiro 2016 Summer Paralympic Games. Imaging-depicted muscle injuries in Paralympic athletes were identified upon retrospective review of all MRI studies performed at the Games. Images were evaluated retrospectively by five board-certified musculoskeletal radiologi...
Open Access DOI:10.23937/2469-5718/1510194
Effects of Moderate-Intensity Intermittent Circuit Training in Obese and Overweight Individuals
Irene-Chrysovalanto Themistocleous, Petros Agathangelou and Manos Stefanakis
Article Type: Research Article | First Published: June 14, 2021
Obesity has become a serious problem in Western societies and is associated with several health problems and reduced quality of life. The purpose of this randomised, clinical trial is to investigate the effects of a moderate-intensity, intermittent, circuit training program on a range of cardiovascular risk factors such as body composition, biochemical and physiological variables and aerobic capacity in obese and overweight individuals. A total of 30 participants were selected and 15 of them per...
Open Access DOI:10.23937/2378-3516/1410159
Hemithorax Opacification & Large Volume Thoracentesis: A Novel Predictor of Re-Expansion Pulmonary Edema
Victor E Prado, MD, Shasha X Chen, DO, Anupam Basu, MD, Connor J Wakefield, BS, Shashvat Sukhal, MD, Sanjay A Patel, MD and Sean B Smith, MD
Article Type: Research Article | First Published: June 21, 2021
Symptomatic pleural effusions are a common reason for hospital visits. Guidelines recommend draining < 1.5 L with large-volume thoracentesis (LVT) to avoid re-expansion pulmonary edema (REPE). Hemithorax opacification by pleural fluid on chest X-ray (CXR) has not been studied as predictor of REPE. We evaluated the incidence of REPE using hemithorax opacification on CXR. We reviewed LVTs with pre- and post-procedural chest CXR from 2008 to 2019 at a tertiary urban hospital. Image J software was u...
Open Access DOI:10.23937/2572-3235.1510076
Assessment of Chest X-Ray Utilization for the Evaluation of Non-Traumatic Chest Pain in an Academic Emergency Department
Garrett Rucker, Ricci Kalayanamitra, MD and Ravindra Gopaul, MD
Article Type: Original Research | First Published: June 30, 2021
Overutilization of chest X-rays (CXR) is costly, inefficient and results in increased radiation exposure. Several studies have proposed clinical decision rules (CDR) for chest X-ray utilization in non-traumatic chest pain patients presenting to the Emergency Department (ED). However, CDRs are often not one size fits all and may differ based on population variability. The purpose of this study is to 1) Evaluate CXR utilization among ED patients suspected of acute coronary syndrome (ACS) presentin...
Open Access DOI:10.23937/2643-4571/1710030
A Qualitative Methodology to Support the Evaluation of Novel Treatments for Hyperphagia in People with Prader-Willi Syndrome
Mindy Leffler, MEd, Sonya J Elder, PhD, Siri Bolding, PhD, Megan Hefner, MS, Jennifer L Miller, MD Parisa Salehi, MD, Anthony J Holland, MD, Anish Bhatnagar, MD, Kristen Yen, MS, Patricia C Hirano, MPH and Kristina Davis, PhD
Article Type: Original Article | First Published: June 30, 2021
Assessing change in symptoms affecting people with Prader Willi Syndrome (PWS), a rare disease, is complicated by the influence of different levels of food security procedures and the impact of immediate circumstances on symptom presentation and severity. We report on the use of qualitative interviews to collect information on behavioral change and on the impact of factors specific to individual participants with PWS in a clinical trial. Soleno Therapeutics’ Phase 3 program consists of a doubl...