Open Access DOI:10.23937/2474-3658/1510187

Overview of the Rationale for L-Glutamine Treatment in Moderate-Severe COVID-19 Infection

Adebola Okunola E Obayan, MD, PhD (Surgery), FRCSC

Article Type: Original Article | First Published: January 13, 2021

This overview focuses on how to overcome the treatment challenges posed by COVID-19 infection and reduce mortality with antioxidant therapy. The rationale for this treatment approach is explored by addressing the following objectives. COVID-19 is the viral pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (WHO). SARS-CoV-2 is an enveloped positive- sense vir...

 Open Access DOI:10.23937/2474-3658/1510186

Risk Factors, Seroprevalence and Infectivity of Hepatitis B Virus amongst Children Resident in Orphanages in a Developing Country

Chioma Paulina Ogbonna, MBBS, FMCPaed, Christian Chukwukere Ogoke, MBBS, FWACP, Anthony Nnaemeka Ikefuna, MBBS, FMCPaed, FRCP, Tochukwu Chukwukadibia Ezeofor, MBBS, FMC, FMCpaed, Emeka Charles Nwolisa, MBBS, FWACP, FRCP, Franklin Chime Emerenini, MBBch, FMCpaed, and Christopher Bismarck Eke MBBS, FWACP

Article Type: Original Article | First Published: January 13, 2021

Hepatitis B infection (HBV) remains a significant clinical and public health problem and is hyperendemic in Nigeria. In highly endemic regions, infections spread from mother to child, or by horizontal transmission, with the burden of infection being highest in under-fives. Nigeria has a large number of orphans and vulnerable children, with reports of high seroprevalence of HBV infection in orphanages. There is no such report from our locality, despite having a high number of orphans. Therefore, ...

 Open Access DOI:10.23937/2572-3286.1510062

Dialysis Center Productivity Accelerated after 2011 Payment Reform without Compromising Quality of Care

J Mark Stephens, David Barrus, PhD, Dennis Cotter, Martin J Ma, PhD, Mae Thamer and Jay B Wish, MD

Article Type: Original Research | First Published: January 11, 2021

In January 2011, the Centers for Medicare & Medicaid Services (CMS) introduced the End-Stage Renal Disease Prospective Payment System (ESRD PPS) with the goal of creating strong economic incentives for Medicare dialysis providers to improve efficiency in the delivery of dialysis treatments, but without compromising quality of care. To date, no formal evaluations have been published of the impacts of the new payment reforms on dialysis center efficiency in the quantity and quality of care deliver...

 Open Access DOI:10.23937/2469-567X/1510073

Influenza A or COVID-19 Reinfection? Making the Right Diagnosis during the COVID-19 Pandemic

Njideka Udochi, MD, MPH, FAAFP, AAHIVS, Hazel Jones Parker, DNP, CRNP, AAHIVS and Melonie Owusu, BSN, RN

Article Type: Case Report | First Published: January 16, 2021

As the second wave of SARS-CoV-2 (COVID-19) rages through the Unites States (US), it is coinciding with Influenza season, both being spread via respiratory droplets. Influenza symptoms such as cough, myalgia, and fever mirror symptoms of COVID-19. Reinfection with the SARS-CoV-2 virus has been described but is relatively rare. Several studies have described patients with long periods of positivity...

 Open Access DOI:10.23937/2469-5718/1510182

Isolated Tear of the Distal Biceps Femoris Tendon in a Young Elite Australian Rules Football Player

In Sun Na, Stuart Down and Scott Hancock

Article Type: Case Report | First Published: January 16, 2021

Isolated tear of the distal biceps femoris tendon is rare in athletes. A recent systematic review identified only a total of 22 athletes with such injuries. More specifically, only one previously reported case in an athlete outlined a tear localised to the distal tendon, as opposed to the more commonly documented myotendinous junction. Most of these injuries were treated surgically (n = 20/22) with mean (± SD) overall time to return to sport of 4.9 +/- 3.3 months. This study presents a rare cas...

 Open Access DOI:10.23937/2469-5718/1510181

Acute Compartment Syndrome in the Anabolic Steroid using Bodybuilder: A Case Report

Eduardo Freitas Ferreira, Barbara Dantas, Diogo Portugal, Nuno Silva, Catarina Peixoto, André Ladeira and Carla Vera-Cruz

Article Type: Case Report | First Published: December 31, 2020

A 19-year-old male bodybuilder presented to the emergency department with a lower right leg anterior non-traumatic compartment syndrome associated with a footdrop. He had been using daily anabolic-androgenic steroids for the past 12 weeks. Emergency fasciotomy was done and the patient initiated rehabilitation. ...

 Open Access DOI:10.23937/2469-5718/1510180

Inactivity during COVID-19 Quarantine and its Effects in Strength and Functional Parameters in Elderly: A Case-Study

Júlio Benvenutti Bueno de Camargo, Rubem Machado Filho, Felipe Alves Brigatto, Danilo Rodrigues Batista, Paulo Henrique Barbosa, Guilherme Borsetti Businari, Jhenipher Moniky Rosolem, Rafael Sakai Zaroni, Evandro Murer, Gustavo Zorzi Fioravante, Daniel Alves Correa, Diego Pereira Jeronimo, Anderson Martelli, Moises Diego Germano, Wellington Goncalves Dias, Victor Augusto Ramos Fernandes, Luan Oenning Col and Tiago Volpi Braz

Article Type: Case Report | First Published: December 31, 2020

Coronavirus 2019 (COVID-19) may be defined as a disease with pandemic characteristics. Although social distance may be able to combat the spreading of the virus, negative repercussions in general population's health may occur, especially in older people. Then, the aim of the present case-study was to assess the effects of a 6 month-detraining period in strength and functional parameters of a previously strength-trained elderly woman....

 Open Access DOI:10.23937/2572-3235.1510072

X-Ray Film Reject Analysis in Radiology Departments of Port Sudan Hospitals

Fathi Awad, Fathalrahman Al Naem, Afrah Gemea, Nehad Wedaa, Zeinab Mohammed and Samah Tag Elser

Article Type: Original Paper | First Published: January 21, 2021

Patients normally go through repeated X-ray imaging procedures following the initial imaging exams are rejected because of poor image quality. Repeated images of radiological examinations increase the risk of radiation exposure of the patients, wastes medical resource, and reduce the quality of services of radiology department. Patients normally go through repeated X-ray imaging procedures following the initial imaging exams are rejected because of poor image quality. Repeated images of radiolog...

 Open Access DOI:10.23937/2469-5734/1510123

Intraoral Tissue Expander: Tissue Augmentation for Deficient Alveolar Ridge by Mechanotransduction - A Systematic Review of Literature

Raghavendra S Medikeri, Marisca A Pereira and Manjushri Waingade

Article Type: Systematic Review | First Published: December 31, 2020

Rehabilitation of edentulous ridges with implants is becoming so popular. However, it becomes onerous for a dentist to place implants in severely resorbed ridges which requires tension free primary wound closure. Instead of using invasive and extremely tedious methods to augment soft tissue, an intra-oral soft tissue expander is an ideal option. Soft tissue expander can be used as a very effective treatment option for increasing the soft tissue volume before ridge augmentation. There are insuffi...

 Open Access DOI:10.23937/2378-346X/1410123

High Intracranial Pressure and Retinitis Pigmentosa

Habib Dezhagah, MD, Hamid Sajjadi, MD and Mohammad-Ali Abtahi, MD

Article Type: Research Article | First Published: December 31, 2020

After history taking and complete eye examination, optical coherence tomography (OCT) of the optic nerve and retina, and then, laboratory tests and magnetic resonance imaging (MRI) of the brain and orbit were done. Those whose findings were in favor of increased ICP were sent to a neurologist for a lumbar puncture (LP). Forty- four patients were eligible to enter the study, but only 23 patients (10 males) completed the work-up and underwent LP....