Open Access DOI:10.23937/2469-5718/1510193

Non-Traumatic First Rib Fracture in University Wrestler

Thomas Wesley Allen, DO, MPH, FACP, FAOASM

Article Type: Case Report | First Published: June 05, 2021

The first rib is well situated to be fully protected from external trauma as it is surrounded by soft tissue, muscles, and bony structures. It is rarely fractured by external trauma. However, two reports of non-traumatic first rib fractures have recently been reported: One in a basketball player and the other in a cheerleader. We present a third case of a non-traumatic first rib fracture, one that occurred in a collegiate wrestler secondary to cervical muscle contraction. The first rib is the sh...

 Open Access DOI:10.23937/2469-5718/1510192

Influence of Physical Activity in Patients with Prostate Cancer Undergoing Radiotherapy and/or Hormonal Deprivation Therapy: Integrative Literature Review

Caio Augusto de Ávila Silva, Gabriel Dias Monteiro, Gustavo Pereira Freitas, João Vitor Coppola Oliveira and Douglas Reis Abdalla

Article Type: Research Article | First Published: June 05, 2021

In Brazil and in the world, the incidence and prevalence of prostate cancer have been increasing. The prostate is a male gland responsible for the production of part of the semen. More than any other type, it is considered a cancer of the third age, since about 75% of the cases in the world occur from the age of 65. In this study it was correlated the practice of physical exercises with the progression and evolution of the disease beyond the impacts in the treatment. This work aimed to verify in...

 Open Access DOI:10.23937/2378-3001/1410111

Not All Severe Primary Headaches are Migraines - Tension Type Headaches are Far More Common Yet often Labelled as Migraines

Roy G Beran

Article Type: Review Article | First Published: June 07, 2021

This paper reinforces the concept that headaches reside on a continuum with migraine type headache at one end of the spectrum and Tension Type Headache (TTHs) at the other with what used to be referred to as tension/ vascular headaches, along that continuum. This brief overview of headaches is based upon almost half a century of clinical neurological experience by the author, rather than an in depth analysis of definitions and is also dependent upon impressions of patient responses to treatment....

 Open Access DOI:10.23937/2643-3885/1710056

Mechanisms and Outcomes after Crush Injuries of the Foot

Kate Nicholls, Henry Goodier, Philippa Bennett, Heath Taylor and Nicholas Savva

Article Type: Original Article | First Published: June 10, 2021

Crush injuries of the foot are poorly defined in the literature. Previous studies focus on the mechanism of injury or the environment in which they occur. Crush injuries can be associated with long-term sequelae including chronic pain and it has been suggested that seemingly less severe soft tissue injuries can carry significant morbidity equivalent to or worse than bony injuries. The aim of this multicentre study was to provide a contemporary overview of patients presenting with crush injuries ...

 Open Access DOI:10.23937/2377-3634/1410143

Demographic, Behavioral, and Clinical Characteristics of the Ambulatory Diabetic Population of the Dominican Republic, 2018

Leslie Anne Duncan, MPH, Paige Hornsby, PhD, Aaron Pannone, PhD, Omar W Ebrahim and Ammar Ibrahim, MD

Article Type: Original Research | First Published: May 31, 2021

Type 2 diabetes has steadily increased in prevalence in the Dominican Republic. Our objectives were to identify the demographic, behavioral, and clinical characteristics of adult male and female ambulatory diabetic patients in the Dominican Republic to better understand diabetes in the Dominican population. We conducted a retrospective chart review of a random sample of ambulatory patients treated at the diabetes clinic at the Instituto Nactional de Diabetes, Endocrinología y Nutrición (INDEN)...

 Open Access DOI:10.23937/2378-2951/1410229

CVA to BPA: Using Balloon Pulmonary Angioplasty to Treat Chronic Thromboembolic Pulmonary Hypertension Post Stroke

Adinan Kanda, MD and Kurt Prins, MD, PhD

Article Type: Case Report | First Published: May 31, 2021

In patients with CTEPH who are not eligible for PTE, BPA may be a treatment option. It is important to diagnose and treat patients early since delays are associated with worse clinical outcomes. We present a case of CTEPH where early diagnosis and treatment resulted in normalization of PA pressures. Chronic thromboembolic pulmonary hypertension (CTEPH) is characterized by chronic thromboembolism in the proximal pulmonary arteries and small-vessel disease in the pulmonary capillary system. This r...

 Open Access DOI:10.23937/2378-2951/1410228

Congenital Heart Disease - A Review of the Treatment Methods

Cynthia Wong

Article Type: Review Article | First Published: May 31, 2021

This paper seeks to provide a review of the existing treatment methods for Congenital Heart Disease. The paper will focus on the existing treatment methods for CHD, such as cardiac catheterization, patent ductus arteriosus (PDA), balloon valvulop, percutaneous mitral valve repair, hybrid intraoperative pulmonary artery stenting, catheter ablation, atrial septal defect (ASD), and transcatheter pulmonary valve therapy. It will also analyze coarctation of the aorta, balloon atrial septostomy, tricu...

 Open Access DOI:10.23937/2378-2951/1410227

Takotsubo Cardiomyopathy Triggered by Intervention for a Threatened Acute Myocardial Infarction - It is not over till it is over!

Anver Sethwala, MBBS (Hons), Jonathan Habersberger, FRACP, Joshua Sher, Michael Pearson, B.App.Sc (Med Rad) and Nathan Better, FRACP

Article Type: Case Report | First Published: May 31, 2021

Takotsubo cardiomyopathy is commonly associated with a sudden psychological, emotional or physical stress such as a death of a family member. Here we present a case of Takotsubo cardiomyopathy occurring after revascularization of an acute coronary syndrome providing evidence that these two discrete, separate, but inherently inter-related events can coexist. Takotsubo cardiomyopathy or stress cardiomyopathy was first described in 1990 by Sato, et al. and is characterized as a transient cardiac sy...

 Open Access DOI:10.23937/2378-2951/1410226

Evolution of Pediatric Cardiology over the Last 50 Years - Part II

P Syamasundar Rao, MD

Article Type: Review Article | First Published: May 29, 2021

The author has just written a book on the evolution of the specialty of Pediatric Cardiology over the last 50 years. The intent of this review is to present a summary of this book. Because of large amount of this material, the review is separated into four parts. In the first part, transcatheter interventions (balloon angioplasty/ valvuloplasty procedures) were appraised. In this paper, transcatheter occlusions and other transcatheter interventional procedures will be discussed. Initially, the p...

 Open Access DOI:10.23937/2469-5866/1410037

Effective Treatment of Dystonia with Deep Brain Stimulation and Tetrabenazine in Pantothenate Kinase-Associated Neurodegeneration: A Case Report

Isabel C Londoño, Luz Miriam Leiva and Hamilton Delgado Argote

Article Type: Case Report | First Published: May 31, 2021

Pantothenate kinase-associated neurodegeneration is a rare disease, difficult to diagnose and treat. It is characterized by a progressive extrapyramidal dysfunction with typical onset in the first two decades of life and by a set of clinical manifestations such as speech disturbance, focal or generalized dystonia, pigmentary retinopathy associated with mild cognitive impairment. 10-year-old male patient, who until this age was managed under a diagnosis of cerebral palsy sequelae with poor respon...