Open Access DOI:10.23937/2690-3164/1710006

Interventional Stroke Treatment in Patients with Tandem Lesions: What Factors Influence the Clinical Outcome?

Elmouden R, Moya A, Reimann G, Adamczewski O, Schwarz M and Rohde S

Article Type: Original Research | First Published: November 05, 2020

Endovascular treatment of acute stroke patients with tandem lesions is technically challenging. We sought to evaluate clinical and interventional factors that might influence the clinical outcome in these patients. We retrospectively analysed the interventional and clinical data of patients with tandem lesions and acute embolic stroke in the anterior circulation that underwent endovascular stroke treatment at our institution. Patients were selected if they had a CTA-proved vessel occlusion of th...

 Open Access DOI:10.23937/2643-4512/1710051

Factors Associated with Born Before Arrival and Birth Outcome among Postnatal Women Attending Irchagadera Hospital, Garissa County, Kenya

Peter Kamau Wanyoike and Felix Mwendwa Mutua

Article Type: Original Research | First Published: November 04, 2020

Born before arrival (BBA) is a childbirth that occurs outside health facility. BBA constitute a high-risk newborn population and have increased perinatal mortality and morbidity. BBA neonatal adverse birth outcome prolong hospital stay. Garissa Counties with the highest number of BBA (2%) compared with national (0.9%). The study adopted a multistage sampling technique and 122 postnatal mothers were interviewed and data analyzed using Statistic Package of Social Science (SPSS) version 26. Bivaria...

 Open Access DOI:10.23937/2469-5823/1510146

Complementary and Alternative Medicine Use among Patients with Chronic Tinnitus

Sumbule Koksoy Vayisoglu and Harun Gur

Article Type: Original Research | First Published: September 30, 2020

A 11.8% of respondents were detected to be using at least one of the CAM method. The most commonly used CAM therapies were herbal products (10 patient), and second was acupuncture. There were no differences according to age, sex, hearing level, tinnitus duration, and educational level between CAM users and non-users. According to income levels rate of equivalent to income level patients was higher than expense and low income levels (83.3% vs. 16.6%). The majority of information sources of respon...

 Open Access DOI:10.23937/2469-5823/1510145

Health Literacy Level of Diabetic or Hypertensive Patients in Family Health Units in Portugal

Isabel Araújo, Clara Simões, Nuno Araújo, Rui Jesus, Fernanda Pombal, Filipe Fernandes and Bárbara Machado

Article Type: Research Article | First Published: September 30, 2020

To describe the HL level of a group of diabetics and/or hypertensive patients from a northern region of Portugal; To verify the influence of sociodemographic variables and clinical variables on the HL level. Descriptive-exploratory cross-sectional quantitative study. Sample of convenience n = 664 users enrolled in 3 groupings of health centers in the northern region of Portugal. A survey was used with the HL European Health Literacy Survey (HLS-EU-PT, translation valid for Portugal). Descriptive...

 Open Access DOI:10.23937/2643-4148/1710016

Statistical Learning in Persons with Aphasia: A Critical Review of Literature

Darshan HS and Goswami SP

Article Type: Review Article | First Published: October 26, 2020

Statistical learning is the process of discovering patterns which are present in the input. Serial Reaction Time Task (SRTT) is commonly used to study statistical learning. Recently, many studies have been conducted in aphasia literature. But it is unclear about the magnitude of learning considering the learning conditions, methodological variations and consolidation of learning in persons with aphasia when compared to neurotypical individuals. This review discusses the learning differences base...

 Open Access DOI:10.23937/2378-3656/1410326

Recurrent Takotsubo Syndrome with Variant Ballooning Pattern

Pedro Llerena, MD, Francisco Besoain, MD, José Luis Winter, MD and Christian Dauvergne, MD

Article Type: Case Report | First Published: November 05, 2020

Takotsubo Syndrome usually presents with normal coronary arteries and the typical pattern of apical ballooning on the left ventricle. This entity can recur but very infrequently it presents with a different pattern of left ventricle wall motion abnormality. We describe the case of a 58-year-old woman presenting with recurrent TTS, associated with two different wall motion patterns in a period of nine years, triggered by a similar stressor factor. According to the modified Mayo Criteria, the diag...

 Open Access DOI:10.23937/2378-3656/1410325

Analysis of Transmission Rates in Asymptomatic COVID-19 Patients in a Community Hospital Setting

Casey A. Hughes, Thomas Boeding, Sanjay Desai, Katherine Westbrook, Constance Christian, Akash Patel, Ti Hoang and Raul Magadia

Article Type: Research Article | First Published: October 29, 2020

This study was conducted at the Regional Medical Center, a community hospital in Anniston, AL. We examined the outcomes of healthcare workers that were in contact with two patients that were asymptomatic during their stay, but were subsequently found to be positive upon discharge. The results of this study provide a better understanding of the risks of SARS-CoV-2 spread in asymptomatic patients with a focus on transmission to healthcare workers. The RMC Human Resources Department released a list...

 Open Access DOI:10.23937/2643-4474/1710044

A Case of Subarachnoid Hemorrhage from the Posterior Pial Artery of the Medulla Oblongata

Takahiro Ogishima, MD, PhD, Takashi Sugawara, MD, PhD, Shoko Hara, MD, Tadashi Nariai, MD, PhD, and Taketoshi Maehara, MD, PhD

Article Type: Case report and Case Series | First Published: October 29, 2020

We present a case with localized subarachnoid hemorrhage in cisterna magna. The patient exhibited re-bleeding after admission. Repeated angiography couldn’t find the bleeding cite. Surgical exploration revealed that the responsible artery was a tiny pial artery on the posterior surface of medulla oblongata. Even though the artery was too small to be delineated in angiogram, subarachnoid hemorrhage and re-bleeding did occur. In this report we discuss the cause of the small artery rupture and po...

 Open Access DOI:10.23937/2572-3235.1510068

Case Study: A 24-Year-Old Female Got Co-Infection with New Corona Virus Pneumonia and Influenza A Virus

Xin Dong, Xiuyun Liu, MD, Xingjia Xie, Longfei Liu, Jun Wang, Peng Xie, Ming Zhang and Guangbin Jiang

Article Type: Case Report | First Published: October 19, 2020

2019 novel coronavirus disease (COVID-19) is a type β corona virus that causes severe acute respiratory syndrome. It is highly infectious and has spread widely around the world. Due to the fact that COVID-19 shares similar characteristics with influenza A, it is difficult to differentiate COVID-19 from other respiratory viruses at an early stage. In this study, we report a case of a 24-year-old female patient who got co-infection with COVID-19 and influenza A H1N1 in China. The case suggests th...

 Open Access DOI:10.23937/2469-5807/1510116

A New Grading for Clear Cell Renal Cell Carcinoma: Combined WHO/ISUP Grading System

Nazlı Sena Seker, Ozan Bozkurt, Güven Aslan, Elif Gokce Devecioglu and Emine Burçin Tuna

Article Type: Original Article | First Published: October 22, 2020

Several parameters have been proposed to predict prognosis in renal cell carcinomas. Although the tumor grade is an important prognostic data in the RCC, there is a low correlation between the observers. The aim of this study was to establish a new grading system based on the combination of different tumor grades in the tumor and the resulting data show the relationship with parameters that are prognostic significance. 185 cases of clear cell RCC treated between 2000 and 2013 were included in th...