Open Access DOI:10.23937/2469-5750/1510096

Hypertension and Cicatricial Hair Loss: Defining High Value Symptom Clusters within Reproductive Aging

Colleen Reisz, MD

Article Type: Original Research | First Published: March 08, 2021

Although hot flashes and disturbed sleep receive the most attention during reproductive aging, other concerns such as depression, weight gain, fatigue and hair loss also cause women to go to the doctor. In this cohort, African American and Caucasian women with two distinct forms of cicatricial hair loss had increased risk of hypertension as compared to their respective control groups. Hypertension has a strong association with the renin-angiotensin-aldosterone system (RAAS). RAAS participates in...

 Open Access DOI:10.23937/2469-5718/1510184

Covid-19 Disease, Self-Isolation and Physical Inactivity

Mehmet UNAL and Tulay IREZ

Article Type: Review Article | First Published: February 28, 2021

The COVID-19 disease caused by the SARS-CoV-2 virus, which started in Wuhan, the capital of China's Hubei province, was declared a global epidemic by the World Health Organization. Restrictive measures based on physical (social) distance are taken to prevent the spread of the disease, which manifests itself with symptoms such as high fever, dry cough, shortness of breath, weakness, and diarrhea. According to the settlement rules, nationwide quarantines covering mass quarantine have proven effect...

 Open Access DOI:10.23937/2469-5807/1510117

Comparison between Intra-Arterial Thrombolysis and Intravenous Thrombolysis in Ischemic Stroke Patients: A Meta-Analysis

Yongkang Liu, Guomin Huang, Zhong Liang Li, Meixiao Zhan, Yong Li, Guangsen Cheng, Ligong Lu and Yu Liu

Article Type: Review Article | First Published: February 27, 2021

To investigate the efficacy and safety between intra-arterial thrombolysis (IAT) and intravenous thrombolysis (IVT) in ischemic stroke patients. The full-texts comparing IAT and IVT in ischemic stroke patients were retrieved by PubMed, Embase and Cochrane Central Register of Controlled Trials databases. Review Manager 5.0 was adopted for conducting meta-analysis, sensitivity analysis and bias analysis....

 Open Access DOI:10.23937/2378-3419/1410146

Chemotherapy Safe Handling through Educating Nurses: A Pre-Experimental Study

Rakhi Mishra, MScN, Bhawana, MScN and Ajay Kushwaha, MScN

Article Type: Original Article | First Published: February 25, 2021

Chemotherapy is a proven prodigy for the treatment of carcinoma but it can possess certain deleterious effects on the healthcare professionals while on constant exposure. Being frontline workers, nursing officers continuously come in contact with these chemotherapeutic agents. Hence, it is of paramount importance that nurses working in oncology unit have adequate knowledge and skill regarding safe handling of chemotherapeutic drugs....

 Open Access DOI:10.23937/2474-3674/1510116

Correlation between the Glasgow Coma Scale Score and Tomographic Findings with in-Hospital Mortality in Patients Admitted in the Emergency Service of the General Hospital of Zone 50 of the IMSS of San Luis Potosi, with a Diagnosis of Traumatic Brain Injury

Alejandra Plasencia Ramos, Alberto Ruiz Mondragón, Iraida Martínez Moreno, Miguel Angel Zarate Espinosa and Monica Aleli Plasencia Ramos

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

A Traumatic brain injury (TBI) is caused by sudden exchange of mechanical energy that causes cranial injury. It is a condition with high morbidity and mortality. A substantial number of survivors suffer disabling injuries. Management is aimed at avoiding secondary brain injury, thus improving the prognosis and reducing mortality. In the General Zone Hospital 50 of the Mexican Social Security Institute in San Luis Potosí, TBI is a frequent cause of visit in the emergency service; it represents 1...

 Open Access DOI:10.23937/2474-3674/1510115

Incidence of Acute Kidney Injury and Associated Factors in Previously Healthy Young Adults Entering the Emergency Observation Service of the General Hospital of Zone Number 50 of the IMSS

Carlos Armando Dueñas Arreola, Alberto Ruiz Mondragón, Fátima Alondra Sánchez Martínez and Jorge Alfredo García Hernández

Article Type: Original Article | First Published: March 05, 2021

Acute Kidney Injury (AKI) is a Health problem that occurs with considerable frequency in our environment, often affecting people in an age range in which they are economically active or start the formation of a family. There are no records of the incidence of this condition in our environment, as well as no record of the impact on people of working age. To establish the incidence of AKI, determine the Incidence of the Economically active population that develops AKI, as well as to identify the m...

 Open Access DOI:10.23937/2378-2951/1410219

Large Spontaneous Coronary Artery Dissection Presenting as Acute STEMI - Is Intervention the Only Answer?

Santosh Kumar Sinha, FACC, FAESC, FSCAI, Awadesh Kumar Sharma, Mahmodullah Razi and Umeshwar Pandey

Article Type: Case Report | First Published: February 27, 2021

Spontaneous coronary artery dissection (SCAD) is a rare but an important cause of ST elevation myocardial infarction (STEMI) in young patients. Here, we report case of a 32-year-old male presenting as acute anterior wall STEMI for which was thrombolysed. Coronary angiogram revealed spiral luminal filling defects with extensive contrast staining of proximal left anterior descending artery involving diagonal branch representing Type D dissection. As patient refused any intervention, he was managed...

 Open Access DOI:10.23937/2469-5742/1510076

Massive Hematuria in the Heterozygous Sickle Cell Disease: A Report of Two Cases

Ndéye Aïssatou BAGAYOGO, Babacar SINE, Mbaye DIAW, Amath THIAM, Babacar DIAO and Alain Khassim NDOYE

Article Type: Case Series | First Published: March 10, 2021

Hematuria in patient with sickle cell disease (SCD) results from microthrombotic infarction in the vasa recta and peritubular capillaries of the renal medullar, with extravasation of blood in the collecting tubes. These were 2 patients with heterozygous SCD with highly abundant macroscopic hematuria. The patients were 23 and 31 and had a clotting total hematuria. They were both anemic with good renal function. Cystoscopy had found bleeding from the left kidney in both patients. Uro-tomodensitome...

 Open Access DOI:10.23937/2643-4512/1710055

Patient Safety Culture amongst Nurses in Qatar

M. Walid Qoronbfleh

Article Type: Short Communication | First Published: February 28, 2021

The vitality of developing a safety culture in healthcare settings has become increasingly emphasized following international investigations that highlighted failures in health care delivery. Weak patient safety culture has been identified as one of the major contributing factors to adverse events. This study used the English version of the Hospital Survey on Patient Safety Culture (HSOPSC [1]) to collect responses from nurses working in Qatar to determine their perceptions of patient safety cul...

 Open Access DOI:10.23937/2643-3966/1710037

Triple Therapy for Persistent Pulmonary Hypertension Post Left Ventricular Assist Device: A Success Case for Cardiac Transplant

Muhammad O Zaman, MD, Luka Petrovic, MD, Scott Stewart, DNP and Bernard Kim, MD

Article Type: Case Report | First Published: February 24, 2021

Patients with end stage heart failure often develop pulmonary hypertension which resolves after placement of left ventricular assist device (LVAD). Some patients develop persistent pulmonary hypertension despite LVAD implantation. This excludes them from being able to receive a heart transplant. High pulmonary vascular resistance is associated with poor prognosis in patients with LVAD. There are no treatment guidelines available for long term treatment of pulmonary hypertension in LVAD patients ...