Open Access DOI:10.23937/2378-2951/1410214
Maximising the Diagnostic Utility of the Exercise Treadmill Test
Kofi Tekyi Asamoah
Article Type: Case Report | First Published: January 16, 2021
Ischaemic heart disease was the leading cause of mortality according to the World Health Organisation in the year 2018 and disease burden keeps increasing steadily across the globe. Early diagnosis and intervention are therefore key in mitigating its effect on society. The exercise treadmill test is an important, cost-effective investigation employed in the evaluation of coronary artery disease, allowing for early diagnosis and a decision on revascularization to be made. Reliable interpretation ...
Open Access DOI:10.23937/2378-2951/1410213
A Rare Case of Vagococcus fluvialis Prosthetic Valve Endocarditis and Aortic Root Abscess
Liam M Back, Joseph Magdy, Liam Guiney, Roger Luo, Akram Hussein and David Wong
Article Type: Case Report | First Published: January 16, 2021
We describe a case of Vagococcus fluvialis infective endocarditis with associated aortic root abscess in a 50-year-old male on his second bioprosthetic aortic valve replacement. Only two cases of Vagococcus endocarditis have been recorded to our knowledge, and this case reinforces the fulminant nature of a rare organism. A 50-year-old male presented to our emergency department with 4 weeks of a traumatic back and neck pain with associated night sweats and anorexia. He had a history of intravenou...
Open Access DOI:10.23937/2378-2951/1410212
Spontaneous Coronary Artery Dissection with Predisposing Fibromuscular Dysplasia: Diagnosed during a Single Catheterisation Procedure
AGW de Lepper, MD, W Aarnoudse, MD, PhD, A Algin, MD, M Winkens, MD and M Magro, MD, PhD
Article Type: Case Report | First Published: January 13, 2021
A middle-aged woman presented with a non-ST-segment elevation myocardial infarction which was due to a spontaneous coronary artery dissection of the distal right coronary artery. Angiography of the femoral artery prior to placement of a closure device revealed tortuosity consistent with multifocal fibromuscular dysplasia....
Open Access DOI:10.23937/2469-5831/1510033
Multiobjective Optimal Control of the COVID Virus Outbreak
Lakshmi Sridhar
Article Type: Research Article | First Published: January 20, 2021
The number of fatalities caused by the COVID virus is not only extremely high but also increasing at an alarming rate. The many strategies that are being used throughout the world, to control the pandemic, are being overwhelmed mercilessly by the global pandemic. In this paper three different optimization strategies are used to determine the best strategy that can minimize the damage. It is also demonstrated that for one value of the number of infected subjects two values of recovered and perish...
Open Access DOI:10.23937/2690-263X/1710009
Hangover Syndrome: Pathogenesis and Treatment
Razvodovsky YE
Article Type: Original Research | First Published: January 13, 2021
It was shown, that there is a significant gap in the understanding of pathogenesis of HS, which hamper the elaboration of means of metabolic correction of this condition. The target of majority of currently existing means of treatment of HS is one of the pathogenic mechanisms of HS. The effectiveness of majority of currently existing medicine is not supported by the results of clinical trials. The actual task of future research is the detailed investigation of pathogenic mechanisms of HS. This w...
Open Access DOI:10.23937/2469-5823/1510152
Stigma Experiences of Psychiatric Nurses and Coping Strategies: A Qualitative Study
Sibel Çaynak, İlkay Keser and İlhan Günbayi
Article Type: Original Research | First Published: January 13, 2021
Individuals with mental disorders have been stigmatized from the past to the present. This situation continues to negatively affect the quality of care and the quality of life by keeping a large number of patients out of seeking appropriate professional help. Individuals with mental disorders are very sensitive to the attitudes of health staff. Negative attitudes of health workers may be an important factor negatively affecting patients' ability to receive needed professional help and the guidan...
Open Access DOI:10.23937/2643-3966/1710034
Unjustified Referral of Adult Patients with Hypertensive Crisis from a First Level of Care to the Emergency Department
Rodriguez-Zuñiga Jorge, Garcia-Hernandez Jorge Alfredo, Lopez-Vilchis Lizeth Liliana, Ruiz-Mondragon Alberto and Sanchez-Martinez Fatima Alondra
Article Type: Original Article | First Published: January 23, 2021
Hypertensive crisis is one of the main complications of systemic arterial hypertension, which is defined as severe elevation of blood pressure, with figures of more than 220/130 mmHg, these in turn are divided into urgency and emergency, which occurs when there is damage to a target organ. According to the literature, the majority of hypertensive crises that occur are of an urgency type, reported in up to 80% of cases, the latter do not require a rapid decrease in blood pressure, taking up to 72...
Open Access DOI:10.23937/2643-3966/1710033
The Influence of Iterative Reconstruction Technique on the Diagnosis of Coronary Artery Calcification
Ahmed Khamis AlShamakhi, MSc, Rakesh Malhari Jamkhandikar, MD, Yahya Mohammed AlWahshi, MD and Sathiya Murthi Panchatcharam, MSc
Article Type: Original Article | First Published: January 23, 2021
This study was performed in a single center and written informed consent was obtained from all patients. Thirty-one consecutive patients (26 men/5 women) underwent CT calcium score to rule out CAC. Image data were reconstructed with both; filtered back projection (FBP) and different levels of IR algorithms. Both the qualitative and quantitative image quality and subjective diagnostic performance were compared; Agatston scores and calcium density were measured for a total of 100 coronary arteries...
Open Access DOI:10.23937/2469-5777/1510086
Maxillofacial Injuries due to Motorcycle Accidents Caused by Stray Animals: An Etiology ‘Kept Out Of Sight’: A Report of 5 Cases
D.S. Thalakiriyawa, BDS, R.M.S.H.B Medawela BDS, W.M.S.N.Weerasinghe BDS, S.A.K.J. Kumara BDS, MS and N.S.S. Jayasuriya BDS, MS
Article Type: Case Series | First Published: December 31, 2020
The oral and maxillofacial region occupies the most prominent position of the human body rendering it vulnerable to injuries quite frequently. These injuries are commonly associated with high morbidity resulting in increased costs of care and varying degrees of physical, functional, and cosmetic disfigurement. Multiple etiologies of oral and maxillofacial trauma include road traffic accidents, falls, assaults, industrial injuries etc. out of which road traffic accidents is the commonest etiology...
Open Access DOI:10.23937/2643-4474/1710054
The Efficacy of the Echelon 10 Pre-Shaped Microcatheter for Delivering a Stent in Difficult Conditions
Ryuzaburo Kanazawa, Takanori Uchida, Tetsuhiro Higashida, Yuichi Takahashi, Naoyuki Arai, Hidenori Ohbuchi and Tomoyuki Yoshihara
Article Type: Technical Note | First Published: December 31, 2020
In some endovascular procedures, the insertion of stent delivery catheters (SDCs) is difficult. We demonstrated the efficacy of the Echelon 10 MicroCatheter (90-degree angle; Medtronic, Dublin, Ireland) during such procedures. We used the Echelon 10 MicroCatheter during difficult procedures to navigate SDCs to the distal artery from the aneurysm. The purpose of this was to reduce mechanical stress on the aneurysmal wall. The SDC was inserted by means of an exchange technique with an intermediate...