Open Access DOI:10.23937/2572-4045.1510053
Challenges in Organ Donation during COVID-19 Pandemic: A Singapore Perspective
Jennifer Ting and Wong YL
Article Type: Case Report | First Published: August 19, 2020
The clinical course of Coronavirus disease 2019 (covid-19) in lung transplant recipients remains unknown. We present the fatal clinical course of a 63-year-old double lung transplant recipient with severe Covid-19 pneumonia. She had stable graft function before Covid-19 infection. Despite all the supportive care and treatment graft injury progressed, causing patient death. Therefore, the prognosis in lung transplant recipients with Covid-19 infection is not optimistic. The determination of brain...
Open Access DOI:10.23937/2469-5718/1510172
Transient Immune Deficit after Exercise and the Relationship with Immuno-Nutrition: A Short Review of the Literature
Lucas Cecin de Deus Spirandelli, Vítor Brandão Veloso, Eduardo Elias Vieira de Carvalho, Ana Karina Marques Salge, George Kemil Abdalla and Douglas Reis Abdalla
Article Type: Review Article | First Published: August 26, 2020
In order to understand the relationship of immune deficit after physical activity and its relationship with food supplementation with carbohydrates and polyphenols to mitigate this transient suppression, the objective of this review is to identify the factors that characterize the decline in immune function after physical exercise and stress the importance of immunonutrition in this context. The use of carbohydrates and polyphenols in physical activity practitioners to mitigate transient immune ...
Open Access DOI:10.23937/2643-4571/1710019
COVID -19 Pandemic and Level of Responses in Bangladesh
Md Kariul Islam, MSS, MPH, Md Shukur Ali, PhD, SAM Ziaur Rahman Akanda, MSc, Shahnaz Rahman, BA, AHM Kamruzzaman, MBA, DBA, Sharif Abdul Kader Pavel, MPH and Jannatul Baki, MBA
Article Type: Review Article | First Published: August 24, 2020
Bangladesh is a South East Asian natural beautiful middle income country. Its economy is flourishing rapidly. In the last decade immense development has been noticed in every sphere of life including women empowerment. However, incidence of COVID-19 Pandemic has influenced every sector of Bangladesh badly. The area of Bangladesh is about 1,47,570s km and about 160 million people live here with peace and amity. Naturally, the density of population of this country is very high in comparing to some...
Open Access DOI:10.23937/2378-2951/1410197
Recurrent Spontaneous Coronary Artery Dissection Leading to Recurrent Sudden Cardiac Arrests: Who is at Risk?
Anthony Weber, MD, Joseph Elliott, MD and Prabhakaran Gopalakrishnan, MD
Article Type: Case Report | First Published: August 20, 2020
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with medical management and conservative therapies usually resulting in favorable outcomes. SCAD often is recurrent, especially in high risk individuals with underlying connective tissue disorders. Lethal ventricular arrhythmias have been reported in SCAD without clear indications for secondary prevention with implantable cardiovert-defibrillator (ICD). Depending on risk factor for recurrence as well a...
Open Access DOI:10.23937/2378-3656/1410316
Bruxism Management: A Comprehensive Review
Luis Gabriel Ladino, Melissa Vargas, Johana Rodriguez and Efrain López
Article Type: Review Article | First Published: August 31, 2020
The physiological predisposing factors of bruxism cannot be individualized, since this is the result of a combination of causes which produce a pathogenic, repetitive, and often unconscious action. Whenever bruxism is discussed in adults or children, the presence of dental contacts should be verified and established. Additionally, establishing a specific etiology for bruxism is impossible, since there are causes and factors associated with its presence, which may or may not be...
Open Access DOI:10.23937/2378-3656/1410315
Pregnancy with Preexisting Total Uterine Prolapse
Adeviye Elçi Atılgan and Şükriye Leyla Altuntaş
Article Type: Case Report | First Published: July 31, 2020
Management of pregnancy with uterine prolapse is challenging. Physician may encounter scenario which endanger both mother and baby during pregnancy, at labor and also after birth. Here, we present conservative management of a pregnancy with preexisting total uterine prolapse up to term. We performed cesarean section due to previous delivery by cesarean section. Interestingly, prolapse did not recur after delivery at two years follow up period. Further reports are needed to conclude as pre-existe...
Open Access DOI:10.23937/2474-3682/1510151
Type A Aortic Dissection Presenting with Paraplegia & Urinary Retention
Sun Yong Lee, MD and Siamak Mehdizadehseraj, MD
Article Type: Image Article | First Published: August 31, 2020
A 60-year-old female with history of hypertension presented to the emergency department following a sudden fall while walking 3 hours prior. The patient was unable to move her both legs and unable to void. During evaluation, she also developed a sudden onset of sharp mid-sternal chest pain. Her blood pressure was 213/126 mmHg in right arm and 170/131 mmHg in left arm and heart rate was tachycardic at 110. Bilateral lower extremities motor strengths were not present with intact sensory functions....
Open Access DOI:10.23937/2474-3682/1510150
Left Atrium Swirling Smoke (SEC) in TEE
Sudeb Mukherjee, MBBS, MD, DM and Suhana Datta, MBBS, MS
Article Type: Image Article | First Published: August 20, 2020
24-year-old male with very severe mitral stenosis of rheumatic etiology presented with one episode of transient left sided hemiparesis with full recovery within 24 hours. He was on optimum medical management that includes diuretics, beta blocker and digoxin. Her heart rate was 62/minutes and BP was 110/64 mm of Hg. She was also receiving injection benzathine penicillin once every three weeks. Transthoracic Echocardiography (TTE) was done which revealed thickened anterior and posterior mitral lea...
Open Access DOI:10.23937/2378-2951/1410196
Enhancing the Accuracy of Computerized Interpretation of Old Inferior Wall Myocardial Infarction in a Routine or Preoperative Electrocardiogram by Analyzing Repolarization Abnormalities and Q Waves in Leads II, III and aVF
Zameer Abedin, MS, MD, David Gough, MD, Moeen Abedin, MD, Tariq Siddiqui, MD, Debabrata Mukherjee, MD, Chandra P Ojha, MD, Zuber D Mulla, PhD and Zainul Abedin MD, FRCP(C), FHRS
Article Type: Original Research | First Published: August 14, 2020
Fifty-six patients, in whom computerized interpretation of the ECG resulted in the diagnosis of old IMI, and in whom imaging studies were also available, were included in this study. ECGs were interpreted using the MUSEGE system. These ECGs were also analyzed by manually measuring the depth and the width of the Q waves and morphology of ST and T-wave changes in inferior leads. Echocardiograms and nuclear medicine cardiac imaging were performed and interpreted using standard equipment and techniq...