Open Access DOI:10.23937/2474-3674/1510109
A National Survey in Belgium on Post-ICU Follow-up Program
Danielle Prevedello, MD, MBA, Fabio Silvio Taccone, MD, PhD and Jean-Charles Preiser, MD, PhD
Article Type: Original Article | First Published: June 17, 2020
As the mortality in critical care patients reduces, post-intensive care syndrome grows as a public health concern, specially following outbreaks. Consequently, to address that problem, post-ICU follow-up programs emerged as a possibility to understand the long-term outcomes better and support ICU survivors. This study aims to state the prevalence of those programs in Belgium and comprehend how Belgians manage the care of ICU survivors....
Open Access DOI:10.23937/2378-2951/1410186
Transpedal Approach for the Treatment of Acute Limb Ischemia in a Patient with Limited Access Sites
Robert Abed, MD, MPH, Naveed Rajper, MD, Joseph Puma, MD and Justin Ratcliffe, MD
Article Type: Case Report | First Published: June 27, 2020
We present a 53-year-old male with a history of extensive peripheral vascular disease, including a repaired type B aortic dissection complicated by occlusion of the left subclavian artery requiring carotid to subclavian bypass. The patient then had a subsequent repair of a graft endoleak complicated by left iliac artery occlusion requiring fem-fem bypass. He presented to the ED with left foot pain concerning for acute limb ischemia needing for prompt revascularization. However, given the extensi...
Open Access DOI:10.23937/2377-4630/1410109
A Series of Erector Spinae Plane Blocks Reduced Pain and Opioid Consumption in Patients with Post Herpetic Neuralgia: Two Patient Cases
Yuvaraj Kotteeswaran, MD, Varuna Manoo, MD, Alexander McLaren-Blades, MD, Michael Kahn, MD, Alexander Huang, MD and Hance Clarke, MD, PhD
Article Type: Case Report | First Published: June 26, 2020
Intense, refractory neuropathic pain is an unfortunate complication following a Herpes Zoster (HZ) infection/ rash and is regarded as post-herpetic neuralgia (PHN). The risk of PHN increases with age. The erector spinae plane (ESP) block has been demonstrated to block transmission through the thoracic and lumbar spinal nerves. This report describes two patients that were able to significantly reduce their chronic pain medications following a series of ESP blocks....
Open Access DOI:10.23937/2469-5742/1510073
Primary Melanoma of the Bladder at Puerperium: Case Report
Rubio Galisteo JM, Gomez Gomez E, Valero Rosa J, Salguero Segura J, Pineda Reyes B, Gonzalez T, Barbudo Merino J, Ruiz Garcia JM and Requena Tapia MJ
Article Type: Case Report | First Published: June 19, 2020
Primary malignant melanoma of the urinary bladder is a sporadic disease and very little described in the literature. A 39-years-old female at the end of her pregnancy without previous history of skin disease was presented with hematuria after cesarean and with constitutional syndrome. After the study, the patient was diagnosed with metastatic bladder melanoma. Other locations of primary injury were ruled out. The patient died a month and a half after the diagnosis....
Open Access DOI:10.23937/2643-4512/1710045
Knowledge and Perceived Susceptibility of Cardiovascular Diseases (CVDs) among Saudi Female Teachers
Ibtisam AL-Tamimi, MD, MPH and Amen Bawazir, MD, PhD
Article Type: Research Article | First Published: June 18, 2020
The purpose of this study was to examine the current knowledge levels, health beliefs, personal risk factors, and health-promoting behaviors related to cardiovascular diseases (CVDs) among female Saudi teachers in Riyadh city. This study featured a cross-sectional descriptive design. A survey method was used to collect data from 400 women teachers who were randomly selected from ten public schools in five regions of Riyadh city, Saudi Arabia. A pretested questionnaire was used to collect data......
Open Access DOI:10.23937/2643-3907/1710034
Shira's Technique, an Alternative for the Enucleation of Cervicofacial Cysts
Solano Nicolás, DDS, Sarmiento Luis DDS, Linares Manuel DDS and Rivera Ejusmar DDS
Article Type: Note | First Published: April 27, 2020
Treatment of cystic lesions includes multiple options, ranging from resection, decompression or marsupialization to enucleation. Different techniques for enucleation have been reported for head and neck cysts. This paper describes Shira ´s technique, using alginate as a filling material inside the cystic cavity, allowing demarcating the limits of the cystic lesions, maintaining their integrity. The use of alginate is recommended for the enucleation of cervicofacial cysts at the time of surgical...
Open Access DOI:10.23937/2643-4474/1710037
Cerebral and Cerebellar Ischaemia in Pituitary Apoplexy: A Case Report
Nimetullah Alper Durmus, Iddi Kassım Mkopi and Ali Kurtsoy
Article Type: Case Report | First Published: June 19, 2020
Pituitary apoplexy followed by cerebral ischaemia is very rare and life-threatening clinical syndrome. Ischemia is a rare complication after pituitary apoplexy. Cerebral ischemia due to pituitary apoplexy has been linked to two mechanisms; this can occur through one of two mechanisms- direct compression of the artery or vasospasm caused by vasoactive factors/agents released from haemorrhagic or necrotic material of the pituitary adenoma....
Open Access DOI:10.23937/2474-3658/1510135
Bromhexine Hydrochloride: Potential Approach to Prevent or Treat Early Stage Novel 2019 Coronavirus Disease
Dmitry Stepanov, DESA and Peter Lierz, MD
Article Type: Commentary | First Published: June 20, 2020
An emerging international outbreak of the novel coronavirus SARS-CoV-2 has already become a problem for physicians and scientists globally. Although the majority of patients withstand the novel 2019 coronavirus disease (COVID-19) without vital threats, many people develop severe respiratory failure, leading to fatal consequences. A clinical trial from Wuhan, China has demonstrated that 86% of the patients who required invasive ventilation and 79% among those who needed a non-invasive ventilatory...
Open Access DOI:10.23937/2469-5858/1510090
Hearing and Vision Impairment is Associated with Falls Risk among Older Adults
Wells TS, Karl JL, Bhattarai GR, Nickels LD and Yeh CS
Article Type: Original Research | First Published: June 11, 2020
The primary objective was to explore falls risk associated with hearing impairment (HI), vision impairment (VI), and hearing aid use among older adults. Participants (4,414) were categorized into six groups: no HI or VI, aided and unaided dual sensory impairment (DSI), aided and unaided HI only, and VI only. Falls risk included falling, being unsteady, and worried about falling. Individuals with DSI had the highest falls risk, generally followed by VI only and then HI only. The use of hearing ai...
Open Access DOI:10.23937/2378-2951/1410185
The Covid-19 Pandemic and Triggered Acute Myocardial Infarction among Non-Infected Individuals
Ayman Hammoudeh, MD, FACC, Hadi Abu-Hantash, MD, FACC, Ramzi Tabbalat, MD, FACC, Eyas Al-Mousa, MD, FACC, Eyadeh Madanat, MD, Raad Al-Muhaisen, MD, Mahmoud Fakhri, MD and Imad A Alhaddad, MD, FACP, FACC
Article Type: Commentary | First Published: June 18, 2020
We examined the exposure to various triggering events among adults who presented with AMI (including ST-segment elevation MI [STEMI] and non-ST-segment elevation MI [NSTEMI]) to 6 tertiary care centers in Amman, Jordan during the Covid-19 imposed lockdown period from March 4 through June 1, 2020. Patients were enrolled if they reported exposure to at least one Covid-19 lockdown-related triggering event. Data obtained from patients or their immediate family members included baseline clinical char...