Open Access DOI:10.23937/2572-4037.1510047
Some Considerations on the Continent/Content Theory in Psychoanalytic Technique
Julián Andrés Naranjo Orozco
Article Type: Psychoanalytic Technique | First Published: December 21, 2020
The methodological strategy to achieve these objectives is the comparison/contrast between the instruments of this work: 1) Extracts of practical or concrete cases of subjects and patients; 2) Topics, subtopics, and/or problems proposed by Bion and other authors of psychoanalysis. This comparison/contrast will give us results on the applicability or not of the continent/content theory to the themes and problems of the cited authors and to the populations that are represented by each contemplatio...
Open Access DOI:10.23937/2469-5734/1510121
Rapid Palatal Expanders: A Review of Their Impact on Speech Sound Production
Ali S Alrumikan, Aref M Althobity, Yazeed K Alfraih and Mohammed S Aldossary
Article Type: Review Article | First Published: December 10, 2020
Rapid palatal expanders are a widely used orthodontic supplement treatment of posterior cross-bites. Rapid palatal expanders may interfere with sufficient tongue movement and linguo-palatal contact. The aim of this review article was to determine what specific impact rapid palatal expanders have on speech sound production and development in children and early adolescents who had such an orthodontic intervention. Only a few studies have investigated this issue in the literature, generally showing...
Open Access DOI:10.23937/2474-3674/1510113
Management of Multiple Rib Fractures-Results from a Major Trauma Centre with Review of the Existing Literature
D Chowdhury, P Okoh and H Dambappa
Article Type: Review Article | First Published: December 21, 2020
The main respiratory complications that arise from fractured ribs are multifactorial. It is well known that inadequate pain management in these patients lead to complications arising from poor ventilatory function. With an already compromised underlying pulmonary system this compounds on the effect on an already failing system leading to significant pulmonary complications. Rib fractures in the form of flail segments pose a particular problem in this regard. When one considers an elderly patient...
Open Access DOI:10.23937/2378-2951/1410209
Balloon Induced Dissection of Left Anterior Descending Artery and its Bidirectional Progression Involving Left Circumflex Artery
Santosh Kumar Sinha, FACC, FAESC, FSCAI, Puneet Aggarwal and Umeshwar Pandey
Article Type: Case Report | First Published: December 12, 2020
Coronary artery dissection is common after balloon angioplasty, few of which may be catastrophic. Here, we report a case of a76-year-old male who had diffuse disease of proximal left anterior descending artery (LAD). LAD was wired with runthrough (Terumo, Japan) and sequentially dilated with 1.5 × 10 and 2 × 10 mm Sapphire semicompliant balloon. After balloon dilatation, dissection at the distal edge of lesion was noticed. As stent could not be tracked and pushed along the lesion as guide cath...
Open Access DOI:10.23937/2378-2951/1410208
Haystack Principle - Its Importance in Unearthing the Electrocardiogram in a Patient with Unexplained Syncope
Santosh Kumar Sinha, FACC, FAESC, FSCAI, Awadesh Kumar Sharma , Mahmodullah Razi and Umeshwar Pandey
Article Type: Case Report | First Published: December 12, 2020
The "haystack principle" is of great diagnostic and therapeutic importance to unearth the obscure P waves which gives clue to underlying diagnosis. Here, we report a case of 72-year-old women who came to outdoor department for evaluation of repeated episodes of loss of consciousness. Electrocardiogram revealed complete right bundle branch block pattern with bizarre T wave in lead II, III, and aVF. P wave were not discernible. However, lead aVR revealed well formed P wave with second-degree atrio...
Open Access DOI:10.23937/2378-2951/1410207
Cardiovascular Diseases in Acromegaly: Not Diagnosed What is Not Suspected
Ivan Lozada Martinez, Daniela Torres Llinás and Andrés Llamas Nieves
Article Type: Commentary | First Published: December 12, 2020
Acromegaly has been described as a rare disease, the result of chronic excessive secretion of growth hormone (GH), with subsequent elevation of Insulin-like Growth Factor I (IGF-1) levels. This condition is associated with an increase in morbidity and mortality compared to the general population, without taking into account that this endocrine disorder per se, increases cardiovascular risk by causing metabolic disorders such as hyperglycemia, dyslipidemia and systemic hypertension...
Open Access DOI:10.23937/2378-2951/1410206
Implantation of Durable VAD during COVID-19: An Epicenter Experience
Scott Stewart, DNP, David Silber, DO, Bernard Kim, MD, Kumar Satya, MD, George Batsides, MD, Kanika Mody, MD, and Mark Anderson, MD
Article Type: Patient Care | First Published: December 12, 2020
Ventricular Assist Devices (VAD) serves as an advanced treatment modality for end stage systolic heart failure patients. Implantation of VAD requires a multidisciplinary team approach with in depth family meetings and education sessions to ensure a successful outcome. During the COVID-19 pandemic, multiple new barriers were identified to allow for traditional VAD implantation and post-operative care. Modifications to current processes needed to be developed to accommodate a safe and comprehensiv...
Open Access DOI:10.23937/2690-3164/1710007
Oxidative Stress and Cardiovascular Risk: Research Must Persist
Ivan Lozada Martinez, Daniela Torres Llinás, Jaine Anaya Rivera, Jennifer Jiménez Valverde and Milena Castro Berrio
Article Type: Commentary | First Published: December 16, 2020
Advances in medicine and experimental biology have supported the definition of concepts related to the process of cellular stress, depending on new discoveries at the molecular level. Oxidative stress is the product of the activity of various metabolic pathways including the mitochondrial electron chain, Nicotinamide Adenine Dinucleotide Phosphate Oxidase (NADPH), nitric oxide synthase, xanthine oxidase, among others. Physiologically, regular levels of reactive oxygen species (ROS) play a fundam...
Open Access DOI:10.23937/2690-263X/1710008
The Introduction of Self Help Group Facilitator in an Alcohol Unit: Preliminary Results
Patrizia Balbinot and Gianni Testino
Article Type: Brief Report | First Published: December 11, 2020
The main outcome of Alcohol Use Disorders (AUDs) treatment is the achievement of abstention. Pharmacological and psychosocial activities are strictly imbricated, however the results at one year are still unsatisfactory. To date, the most effective tool for maintaining abstention is attendance at Self-Mutual-Help Groups (SHGs). Despite that, to date few patients attend Self-Help Groups (SHGs). For this reason we have decided to introduce the Self-Help Group Facilitator (SHGF) to our service. Aft...
Open Access DOI:10.23937/2643-4016/1710023
Paenibacillus Isolated from Superficial Infection of the Left Knee Region in Middle-Aged Man
Mohamed Shaalan, Ali Omer, Mohamed Elrih and Satish Kutty
Article Type: Case Report | First Published: December 21, 2020
On admission, there is subcutaneous diffuse, fluctuant swelling anterior to the left patella measuring 3 × 4 cm, which is erythematous, warm and tender, the range of movements painful beyond 90 degrees. Temperature is 36.8 degrees, pulse rate 97 per minute. Haematological investigations revealed; CRP is 322, WBC 20.15, Neutrophils 18.88, an incision and drainage was done in theatre under general anaesthesia, it was yellowish fluid 15 ml which sent for culture and sensitivity and wound packed wi...