Open Access DOI:10.23937/2474-3690/1510055
Physician Perceived Barriers and Solutions to DASH Diet Recommendations for Hypertension Prevention and Management
Ha Eun Park, Sarah J Billups and Lisa M Schilling
Article Type: Research Article | Publication Updated: January 29, 2021
The Dietary Approach to Stopping Hypertension (DASH) is considered first-line therapy for hypertension, yet clinical practice implementation remains suboptimal. We designed a survey to assess four domains: (1) Provider beliefs/knowledge of DASH benefits, (2) Patient characteristics influencing likelihood of recommendation, (3) Practice barriers to provision of DASH diet advice, and (4) Resources of perceived value. The survey was sent to University of Colorado School of medicine primary care pro...
Open Access DOI:10.23937/2643-461X/1710045
Resistant Hypoglycaemia - A Unique Presentation of Congenital Dengue
Narendra Rai, Neha Thakur and Divya Pandey
Article Type: Case Report | Publication Updated: February 05, 2021
Vertical transmission of dengue is uncommonly reported. There have been occasional case reports of congenital dengue with thrombocytopenia and myocarditis. This is the first case report of refractory hypoglycaemia in congenital dengue. We are reporting a case of congenital dengue in a primigravida who developed dengue fever in last trimester of pregnancy. She underwent an emergency caesarean section in view of decreased foetal movements. Post-operative she developed post-partum haemorrhage and p...
Open Access DOI:10.23937/2643-3885/1710051
Treatment of Foot and Ankle Infection with Antibiotic Cement Spacer
Hyeon Soo Kim, MD, Sung Jin Shin, MD and Jin Woo Kim, MD
Article Type: Original Article | Publication Updated: January 28, 2021
The present paper analyzed the results of treatment of foot and ankle infection with antibiotic cement. Twenty-seven patients who underwent surgical treatment for bone infections of the foot and ankle using an antibiotic cement spacer during the period from July 2014 to June 2019, and were followed up for more than one year were selected as subjects for the present retrospective analysis. The subject was divided into Group A (19 subjects), in which the antibiotic cement spacer was removed during...
Open Access DOI:10.23937/2643-3885/1710050
Catastrophic Hindfoot Collapse after Tibiotalocalcaneal Nailing: A Case Series
Adam Bernatsky, DPM, Zachery Weyandt, DPM and David Seligson, MD
Article Type: Case Report | Publication Updated: January 28, 2021
The use of a tibiotalocalcaneal retrograde hindfoot nail without joint preparation has been utilized in this population with promising results. This procedure, however, does not come without complications. It is often difficult to place the nail in the proper position within the calcaneus, talus, and tibia as medial translation is difficult without preparing the joints for fusion. This may contribute to increased nail failure rates and specifically hindfoot fractures. Three cases of hindfoot nai...
Open Access DOI:10.23937/2690-263X/1710010
Assessing Traumatic Experiences of Justice-Involved Latinx Youth: A Systematic Review
David Hoskins, Psy.D., M.A.S.
Article Type: Review Article | Publication Updated: January 30, 2021
Traumatic experiences have been linked to the unmet behavioral health needs of justice-involved youth. Unmet behavioral health needs are some of the most salient predictors of initial justice involvement and recidivism. Latinx youth are one of the most overrepresented ethnic and racial minority groups in the Juvenile Justice System in the United States. The primary aim of this systematic review was focused on justice-involved, Latinx youth in order to compare traumatic experiences and PTSD rates...
Open Access DOI:10.23937/2572-3987.1510025
Antimalarial Drug Prescription: Evaluation of the Healthcare Professionals based on the Malian National Malaria Control Program (NMCP) Guidelines
Karim Traoré, Seidina AS Diakité, Drissa Konaté, Sory I Diawara, Modibo Sangaré, Moussa S Maiga, Fatoumata Daou, Boubacar Fomba, Mahamadou Diakité and Sekou Bah
Article Type: Original Research | Publication Updated: February 05, 2021
Since 2005, an artemisinin-based combination therapy has been recommended by the WHO and implemented by the National Malaria Control Program in Mali. The success of such strategy depends on the commitment of all stakeholders (patients and healthcare professionals). Therefore, it is necessary to assess the correct application of this recommendation. We carried out the analysis of the prescription of antimalarial molecules based on the NMCP’s guidelines in Kangaba and Bougouni Health Centers dur...
Open Access DOI:10.23937/2572-3987.1510024
Antiplasmodial Activity of Ethanolic Extract of Neem Leaf (Azadirachta indica) in Albino Mice Infected with Plasmodium berghei
Afolabi Olajide Joseph, Simon-Oke Iyabo Adepeju and Oladokun Oluwatobiloba I
Article Type: Original Research | Publication Updated: January 29, 2021
Malaria is a major public health problem in the world, particularly in the developing countries where the disease is difficult to manage due to multi-drug resistant parasites. The study aimed to evaluate the antiplasmodial activity of Azadirachta indica in the treatment of malaria disease. Fresh leaves of Azadirachta indica were air-dried at room temperature for six weeks and pulverized into powder using electric blender. Two hundred and fifty grams (250g) of the crushed powder was weighed with ...
Open Access DOI:10.23937/2474-3682/1510167
Atrial Septal Aneurysm Associated with Mitral Valve Prolapse Syndrome
Satyajit Singh, MBBS, MD, DM, Chandraprakash Thakur, MBBS, MD, Muneshwar Kumar, MBBS, MD , Manish Jain, MBBS, MD and Vishal Agrawal, MBBS, DNB
Article Type: Image Article | Publication Updated: February 05, 2021
A 68-year-old male presented to the out-patient clinic with history of intermittent palpitations and fatigability for past seven months. On cardiovascular system examination, mid-systolic click and pan-systolic murmur grade III/VI were audible at the apex with radiation to the base of heart. Echocardiographic study revealed atrial septal aneurysm (Figure 1, Figure 2, Video 1 and Video 2), along with prolapse of Posterior Mitral Leaflet (PML) into left atrium (Figure 3 and Figure 4). Color-dopple...
Open Access DOI:10.23937/2474-3682/1510166
Drug Rash with Eosinophilia and Systemic Symptoms Syndrome Associated with Isoniazid
M. Elqatni, J. Fatihi, M. Jira, Y. Sekkach, T. Amezyane, K. Ennibi and A. Abouzahir
Article Type: Image Article | Publication Updated: February 04, 2021
A 57-year-old man, admitted for inflammatory back pain lasting for 03 months before admission in the context of weight loss and night sweats. The images showed spondylodiscitis D6-D7 with a collection whose paravertebral, biopsy favored location tuberculosis. Patient was put under antibacillary, quadruple (rifampin, isoniazid, ethambutol and pyrasinamide). 15 days after starting treatment, erythematous lesions squamous (Figure 1, Figure 2 and Figure 3) whole body with facial edema and jaundice. ...