Open Access DOI:10.23937/2643-4016/1710019

Clinical & Surgical Outcomes of Shoulder Arthrodesis: A Cohort of Seven Cases from the South Metropolitan Health Service of Western Australia

Kieran Bochat, MBBS, Sheldon M Moniz, MBBS and Andrew C Mattin, MBBS, FRACS

Article Type: Original Article | First Published: June 29, 2020

Shoulder arthrodesis is an uncommon surgical procedure performed for a range of shoulder pathology including brachial plexus injury, instability or as a salvage procedure for failed arthroplasty and tumour cases. Cohorts report generally good outcomes despite high rates of complications. We aim to investigate the outcomes of all patients undergoing shoulder arthrodesis within the South Metropolitan Health Service (SMHS) from 2001-2019. There is a gap in the literature about the social demographi...

 Open Access DOI:10.23937/2572-3987.1510023

Chronic Use of Azithromycin Might Explain the Low Prevalence of COVID-19 in Cystic Fibrosis Patients

Sara Galimberti

Article Type: Opinion | First Published: June 29, 2020

Severe Acute Respiratory Syndrome - Coronavirus 2 (SARS-CoV-2) is the virus responsible for the pandemic that in the first months of 2020 caused worldwide more than 8 millions of infected subjects and 436,000 deaths. It has been reported that only few individuals affected by cystic fibrosis (CF) developed the clinical manifestations of the often dramatic SARS-CoV-2 related disease, now known as Coronavirus Disease 19 (COVID-19)....

 Open Access DOI:10.23937/2474-3682/1510145

RSOV in a 6-Year-Old Boy Diagnosed by TEE

Sudeb Mukherjee, MBBS, MD, DM and Suhana Datta, MBBS, MS

Article Type: Image Article | First Published: June 29, 2020

Ruptured Sinus of Valsalva (RSOV) is very rare in paediatric age group, 3rd decade being the usual presentation age. Patient may present with asymptomatic murmur to cardiogenic shock and fatal outcomes. High degree of suspicion and expertise is required to confirm or rule out diagnosis. Here we have reported a case of RSOV in 6-year-old boy who presented with features of hyperdynamic circulation. Transesophageal Echocardiography (TEE) images are shown here which confirm the presence of RSOV and ...

 Open Access DOI:10.23937/2643-3907/1710035

Blindness Following Trauma of Midfacial Fractures: A Retrospective Study of Clinical Cases and Review of Literature

Nikolaos Kolomvos, Georgios Giannoulis and Nikolaos Papadogeorgakis

Article Type: Review Article | First Published: May 06, 2020

Blindness is a complication of midfacial trauma and the cause of it may be retrobulbar or intraorbital hematoma, which could be responsible for a direct or indirect damage to the optic nerve, traumatic loss or rupture of the orbital globe. In the international literature, the reported incidence of blindness subsequent to craniofacial injuries, particularly in orbito-frontal, orbito-naso-ethmoidal, zygomatico- orbital and Le Fort II and III fractures ranges from 1-5%....

 Open Access DOI:10.23937/2572-4193.1510084

To Evaluate Clinico - Microbiological Profile in Chronic Rhinosinusistis: A Prospective Cohort Study in North India

Dr. Arun Kumar TM, Dr. Surinder K. Singhal, Dr. Arjun Dass, Dr. Jagdish Chander, Dr. Shashikant A. Pol and Dr. Nitin Gupta

Article Type: Research Article | First Published: June 25, 2020

Chronic rhinosinusitis is defined as the inflammation of mucosa of nose and paranasal sinus for at least 12 consecutive weeks of duration. Being one of the most common health problems worldwide, its pathogenesis is not well defined and there may be multiple aetiologic factors. Bacteria, fungi or viruses may be involved in some cases but there may be cases with no identifiable pathogenic organisms. As there is emerging drug resistance management of patients is also getting troublesome....

 Open Access DOI:10.23937/2377-3634/1410117

Complications and Glycaemic Control of Type 1 Diabetes Mellitus amongst Children Aged 5 to 19 Years Attending Diabetic Clinic at Kamuzu Central Hospital In Malawi

Amos Msekandiana, Gladys Chigayo, Sandeni Chiume, Alfred Jaulani, Levina Msuya, Jedeni Bendabenda, Amos Nyaka, Dan Namalika, Geoffrey Manda, Lucy Mungai, Thomas Ngwiri, Charles Mwansambo, Joanna Walker and Anjumanara Omar

Article Type: Research Article | First Published: February 22, 2020

According to WHO report published on their website on 1st June 2018, non-communicable diseases have become an issue of global concern with about 41 million deaths per year and 1.6 million deaths occurring as a results of Diabetes alone. In addition, over 85% of the deaths occur in the low and middle income countries. Thus the aim is to reduce premature deaths from NCDs globally by one third by 2030...

 Open Access DOI:10.23937/2643-4059/1710019

Depression in Dialysis: A Poor Prognostic Factor and the Mechanism behind It

Umme Salma Talukder, Hossain Tameem Bin Anayet, Samjhana Mandal, Fahmida Ahmed3,Muhammad Ayaaz Ibrahim and Samira Humaira Habib

Article Type: Research Article | First Published: February 26, 2020

Major Depressive Disorder (MDD) is one of the most common psychiatric illnesses. The effect of depression on one’s physical health is well-known, which can include anything from weight gain or loss to chronic illnesses such as heart disease, kidney or gastrointestinal problems. Provided the increasing prevalence of patients suffering from End Stage Renal Disease (ESRD) and receiving dialysis treatment, it is important to investigate how MDD affects the outcome of their treatment. The incidence...

 Open Access DOI:10.23937/2474-3674/1510095

Clostridium Sporogenes Causing Bacteremia Originated from the Skin and Soft Tissue Infection in an Immunocompetent Patient - Case Report and Literature Review

Harith A Alataby, MD, Vaishali Krishnamoorthy, MD, Laura Ndzelen, MD, Foma Munoh Kenne, MD, Kate Valenti, MLT, Jessie Savermuttu, MD and Jay Nfonoyim, MD

Article Type: Case Report | First Published: July 09, 2020

Clostridium sporogenes is a major cause of food spoilage. In this report, we present a case of bacteremia in an immunocompetent patient, caused by C. sporogenes and most likely originated from the skin and soft tissue infections. 75-year-old man with PMHx of Parkinson’s disease presented to ED after he was found lying on the floor inside his house, covered in urine and feces for unknown duration of time. He was extremely lethargic and dehydrated. He had BP90/60 mmHg, PR100, RR 22, temperature ...

 Open Access DOI:10.23937/2643-4016/1710018

Keyhole Surgery for Carpal Tunnel Syndrome Using MIS-CTS-Kits (Surgical Technique)

Wongthawat Liawrungrueang and Sunton Wongsiri

Article Type: Research Article | First Published: April 15, 2020

Carpal tunnel syndrome is the most common hand disease. The standard open technique for carpal tunnel surgery has some wound problems and complications significantly more than minimally invasive surgery. The keyhole technique produces good results with the novel tool of MIS-CTS kits (Minimally invasive surgery for carpal tunnel syndrome kits) was developed to improve effectiveness for surgery....

 Open Access DOI:10.23937/2474-3658/1510138

Recurrence or Relapse of COVID 19 Infection

Gary R Skankey, MD and Christopher Breeden, MD

Article Type: Case Report | First Published: July 03, 2020

We present a patient who is a 67-year-old female who is morbidly obese (BMI 62), but otherwise healthy, who was admitted on 4/6/2020 (day 0) with a five day history of fever and diarrhea, followed by 24 hours worth of increasing shortness of breath, dry cough, nausea, and dry heaves. A chest x-ray showed bilateral infiltrates consistent with congestive heart failure, however B-naturetic peptide was only 284 (NL < 125). Blood work was as follows: WBC - 3420, ABG - 7.43/34/64 on 6 liters O2, Quant...