Open Access DOI:10.23937/2377-9004/1410201
Eclampsia at 20 Weeks of Gestation: A Case Report
Mary Sue Makin
Article Type: Case Report | First Published: June 14, 2021
A 23-year-old primigravida with unknown last menstrual period and 20 weeks gestation by ultrasound presented to Daeyang Luke Hospital in Lilongwe, Malawi with a history of headache, fever, vomiting and new-onset of convulsions. At the time of her admission the full blood count instrument at our hospital was out of service. A rapid blood test for malaria was positive. After an initial blood pressure of 164/127 and 3+ proteinuria on urinary dipstick the diagnosis of eclampsia was made. She was giv...
Open Access DOI:10.23937/2643-4474/1710069
Resolution of Asymptomatic Significant Volume Extradural Haematoma on Clinico-Radiological Assessment: A Case Report
Krishan Kumar Sharma and Asgar Ali
Article Type: Case Report | First Published: June 18, 2021
According to guidelines of the brain trauma foundation and the congress of neurological surgeons for managing traumatic brain injury, surgical evacuation recommended for extradural haematoma with volume more than 30 cm3 regardless Glasgow coma scale (GCS) of patient. A case of asymptomatic extradural haematoma (volume 40.5 cm3) treated on regular clinico-radiological assessment (CRA) showed near complete resolution of extradural haematoma. This supports CRA as an ethically justified treatment ap...
Open Access DOI:10.23937/2572-3278/1510048
Effect of High Dose Resistant Starch on Human Glycemic Response
Tongyu Ma and Chong-Do Lee
Article Type: Original Research | First Published: June 19, 2021
This study examined the effect of adding a high dose of resistant starch (RS) in plain muffins on human glycemic response in sedentary and abdominally obese individuals. A total of 8 participants were randomly assigned to two sequences of treatments (AB, BA) using a 2 × 2 randomized cross-over design. The treatment effect was tested with a muffin that contained 75g of digestible carbohydrates and 30g of RS as treatment condition (TRT, B), while the control effect was tested using a 75-g oral gl...
Open Access DOI:10.23937/2474-3658/1510214
Two Cases of Siblings with Variation in Response to Standard Treatment of Visceral Leishmaniasis in Kenyatta National Hospital
Allan Kayiza, Wakaba Stephanie, Anjumanara Omar and Ezekiel M Wafula
Article Type: Case Series | First Published: June 21, 2021
Visceral leishmaniasis is caused by a protozoan parasite of the genus Leishmania, transmitted by sandflies of the genus Phlebotomus. It is one of the neglected tropical infectious diseases, though it has been endemic in many countries around the world. High morbidity and mortality have been reported in Sub-Saharan Africa, including Kenya, attributed to misdiagnosis, late diagnosis, or medication lack. The cases we present, highlight the disease's characteristics and the variable individual to th...
Open Access DOI:10.23937/2474-3658/1510213
Management Outcome of Coronavirus Disease 2019 and Human Immunodeficiency Virus Co-Infection in Nigeria: A Case Series
Vivian Gga Kwaghe, Ayi Vandi Kwaghe, Zaiyad Garba Habib and Bissallah Ahmed Ekele
Article Type: Case Series | First Published: June 16, 2021
Studies indicate that people with underlying comorbidities and the elderly are susceptible to increased risk of developing severe disease when infected with SARSCoV- 2. This study aims to describe the clinical presentation and treatment outcome of People Living With Human Immunodeficiency Virus (PLWHIV) who had Coronavirus disease 2019 (COVID-19). We conducted a retrospective study of COVID-19 patients with Human Immunodeficiency Virus (HIV) co-infection admitted at the University of Abuja Teach...
Open Access DOI:10.23937/2474-3658/1510212
Anthropocene- An Era with Evil Six Threats Changing the Fate of Biodiversity: Emerging and Re-emerging Aboviruses Calls for Holistic Approach
Yusuf Amuda Tajudeen
Article Type: Review Article | First Published: June 12, 2021
The Anthropocene era is characterized by the everincreasing anthropogenic activities which serve as a driver of the evil six threats (climate change, overexploitation of earth natural resources, land-use change, invasive alien species, pollution, and nutrient loading) to biodiversity, these, in turn, contributes to the alarming emergence and re-emergence of arboviral diseases. The major concern of this on human population is the increased morbidity and mortality rate, and as evidently reported b...
Open Access DOI:10.23937/2469-5858/1510113
An Elderly Woman with SARS-CoV-2 Infection and Neuropsychiatric Disorders
Michael Nnaji, Adrian Rosada, Skadi Wilke, Isabelle Wirsching, Johannes Schurig, Christiana Franke, Harald Prüss, Wolfgang Bauer and Ursula Müller-Werdan
Article Type: Case Report | First Published: June 19, 2021
The SARS-CoV-2 pandemic has placed a considerable strain on public health services worldwide. According to the Johns Hopkins COVID-19 Dashboard (https://coronavirus. jhu.edu/map.html), as of April 2021 over 150 million cases had been recorded worldwide with a global death toll of over 3 million. Most efforts in delineating the effects of SARS-CoV-2 infection have focused largely on the pulmonary, digestive and nephrological organ involvement as well as thromboembolic complications. There is howe...
Open Access DOI:10.23937/2469-584X/1510080
Budd-Chiari Syndrome in the Cirrhosis Stage Revealing Essential Thrombocythemia
A Rkiouak, PhD, N Sahel, MD, I El Kassimi, MD, M Zaizae, MD and Y Sekkach, PhD
Article Type: Case Report | First Published: June 07, 2021
Budd-Chiari syndrome (BCS) results from an obstruction of the hepatic venous drainage, from the hepatic venules up to the terminal part of the inferior vena cava. A myeloproliferative syndrome, in particular an essential thrombocythemia (ET), is one of the most common causes (40-50%). The search for the Jak2 mutation facilitates haematological management. The diagnosis is made by Doppler ultrasound, supplemented by an MRI or CT scan. Support is based on early anti-coagulation, treatment of prot...
Open Access DOI:10.23937/2474-1353/1510120
Running Behaviors in a Convenience Sample of Pregnant Women: A Descriptive Study
Jennifer Huberty, PhD RYT, Mariah Sullivan, Jeni Green, MS, Anna M. Gorczyca, PhD, Jenn Leiferman, PhD and Kisti Fuller
Article Type: Research Article | First Published: June 24, 2021
No studies have described running behavior in pregnant women who self-identify as runners despite the benefits of moderate to vigorous activity during pregnancy. The purpose of this study was to learn more about behaviors, barriers, and advice health care providers (HCPs) offered regarding running during their pregnancy. The study was cross-sectional with national recruitment using internet-based strategies. Eligible women (N = 189) completed an online survey that assessed their health (i.e., he...
Open Access DOI:10.23937/2378-3516/1410158
Pulmonary Carcinosarcoma Diagnosed on CryoProbe® Biopsy
Fatima Ali, DO, Steffi Lena, DO and Jay Kirkham DO
Article Type: Case Report | First Published: June 17, 2021
A 57-year-old female with a 43-year pack-a-day smoking history presented to the hospital with cough, right sided pleuritic chest pain, three episodes of hemoptysis each less than a quarter size and unplanned 20 lb. weight loss in the last month. On admission, CT Chest demonstrated an 11 cm right upper lobe (RUL) heterogeneous mass with severe central necrosis and complete obliteration of the right upper lobe bronchus as well as encasement of the RUL pulmonary artery, invasion of the lateral wall...