Open Access DOI:10.23937/2378-3397/1410116
Surgical Treatment of Ulcerative Colitis: A Review
Talha Sarigoz, MD
Article Type: Review Article | First Published: September 09, 2020
Reasons for elective surgery mostly rely on discontinuity of the medical therapy. Other reasons are dysplasia and cancer. An elective surgery must be directed on removal of colon and rectum thus eliminating the target organ while achieving low mortality and morbidity rates and high quality of life. But with surgery comes complications, therefore different surgical techniques have been proposed to find better early and late outcomes and surgery for ulcerative colitis has evolved over the years. I...
Open Access DOI:10.23937/2378-3397/1410115
Gram Stain Microscopy in Septic Arthritis
Soufiane Aharram, Jawad Amghar, Mounir Yahyaoui, Omar Agoumi and Abdelkarim Daoudi
Article Type: Research Article | First Published: September 05, 2020
Septic arthritis is a serious condition that can lead to rapid destruction of joint if it is not rapidly diagnosed and treated appropriately. The reported annual incidence is 10 in 100,000 although this increases to 70 in 100,000 in those with risk factors for developing septic arthritis mainly rheumatoid arthritis and immune-compromised patients. The aim of this study is to examine the sensitivity and specificity, and thus the clinical usefulness, of gram stain results. Single centre, retrospec...
Open Access DOI:10.23937/2469-5718/1510174
Sports Medicine Practice during COVID-19 Pandemic - A 'New Normal'
Simarpreet Singh Kalra, Anirban Mallick and Jahnavi Dande
Article Type: Review Article | First Published: September 12, 2020
The COVID-19 pandemic has affected all areas of life,
including sports and athletes which caused disruption to
physical and psychological wellbeing leading to health impairment
and loss of performance. The global sports calendar
has been impacted, athletes are almost stuck indoors
facing an unprecedented effect in their life. The sports
medicine practitioners all over the world need to adapt to
these new challenges. Resumption of training and competition
while maintaining social distanci...
Open Access DOI:10.23937/2378-3516/1410140
COVID-19 and Spontaneous Pneumomediastinum: A Case Series
Alex Diaz, DO, Dolly Patel, DO, Najia Sayedy, MD, Javed Iqbal, MD and Fatima Anjum, MD
Article Type: Case Report | First Published: September 05, 2020
COVID-19 is a relatively new and rapidly emerging disease. Given current knowledge of the disease process, it is of the utmost importance to gain further insight into its different clinical manifestations. In this report we describe three cases involving Hispanic males with COVID-19 all of whom developed pneumomediastinum during their hospital course. We want to emphasize the importance of this adverse event despite their non-smoking history and the exclusion of positive pressure ventilation. We...
Open Access DOI:10.23937/2378-3516/1410139
Protective Bronchoscopy Tent for the Pandemic Proceduralist
Tom Recker, RRT and Thomas J Gross, MD
Article Type: Short Report | First Published: August 13, 2020
During the evolving SARS-CoV-2 pandemic, occupational exposure and infection for first responders and health care workers remains a major concern across the globe. Regional shortages in personal protective equipment (PPE), particularly high-level particulate filter masks such as N95, has led to creative interventions to reduce airborne viral exposure while caring for infected patients. Procedures that result in patient-generated aerosols such as nebulizer medication treatments, intubation, bronc...
Open Access DOI:10.23937/2643-4571/1710020
Clinical Characteristics and Prognostic Factors in Patients with Hemophagocytic Syndrome
César Antonio Egües Dubuc, MD, Jaime Calvo-Alen, MD, PhD, Lizbeth Patricia Cabrera-Miranda, MD, Andrea De Diego Sola, MD, José Ramon Furundarena Salsamendi, MD, Nerea Alcorta Lorenzo, MD, Jesús Alejandro Valero Jaimes, MD, Luis María López Dominguez, MD, Jorge Jesús Cancio Fanlo, MD, Olga Maiz Alonso, MD, Esther Uriarte Isacelaya, MD and Joaquín María Belzunegui Otano, MD
Article Type: Original Article | First Published: September 09, 2020
The mortality rate of Hemophagocytic Syndrome (HPS) is 26.5%-74.8%. Malignant neoplasms, hyperferritinemia, thrombocytopenia, older age, hypertriglyceridemia, and prolonged prothrombin are considered to be adverse prognostic factors. This study describes the underlying features of patients survivors and non-survivors with HPS from one hospital between 2005-2019. This is a retrospective study. We included patient with HPS diagnosis based on the HLH-2004 criteria, or who presented hemophagocytic c...
Open Access DOI:10.23937/2378-3001/1410103
What is the Real Impact of SARS-CoV-2 on Stroke: Do We More Have to Learn?
Luiz Severo Bem Junior, Luís Felipe Gonçalves de Lima, Júlio Cesár Tavares Marques, Pedro Lukas do Rêgo Aquino, Andrey Maia Silva Diniz, Artêmio José Araruna Dias, Flávio Monteiro de Oliveira Júnior, Nicollas Nunes Rabelo, Hildo Rocha Cirne de Azevedo Filho
Article Type: Systematic Review | First Published: September 09, 2020
Coronaviruses (CoV) is virus infectious disease witch a considerable spectrum of clinical presentation. Neurologic symptoms related to SARS-CoV-2 have been described recently in the literature. Among a wide variety of neurological symptoms, acute cerebrovascular disease is one of the most serious complications. This review aimed to reveal the current knowledge regarding stroke in new coronavirus infection as way to improve its diagnosis and treatments. A systematic literature review was carried ...
Open Access DOI:10.23937/2378-3001/1410102
Mononeuritis Multiplex Associated with Sars-Cov2-Covid-19 Infection: Case Report
Enrique Estévez-Rivera, MD, Javier Benavides-Hinestroza, MD, Hernando Rubiano, MD, Herney Andrés García-Perdomo, MD
Article Type: Case Report | First Published: September 09, 2020
We present the case of a 63-year-old female patient from Ipiales (Nariño, Colombia) with COVID-19 Pneumonia (positive PCR test on April 9, 2020, repeated on April 29, 2020, confirming the diagnosis). He was hospitalized in the ICU for 50 days and required prolonged mechanical ventilation. Significant pathological history: Hypertension and hypothyroidism. During her ICU hospitalization, she had kidney failure that required several dialysis sessions. Simultaneously, she showed persistent febrile ...
Open Access DOI:10.23937/2643-4539/1710017
Immunomodulating, Neuroprotective and Regenerative Modalities in Multiple Sclerosis Management
Mike KS Chan, Michele Zocchi, Dina Tulina, Anam K Kour, Lau Cher Rene, Roni Moya and Michelle WB Fah
Article Type: Review Article | First Published: September 10, 2020
The phenomenon of “Westernization” in Asian countries which includes a specific choice of food and lifestyle was related to the higher prevalence of MS in Asia’s population which almost supports new findings on the great influence of gut and its microbiota in people worldwide. The current conventional therapy helps to prolong the periods between attacks and relapses, but in fact, does not slow down the disease progression and impact on physical activities which eventually leads to disabili...