Open Access DOI:10.23937/2469-5718/1510166
Impact of a Novel Training Approach on Body Composition in the Elderly
Matthew C Scott, Jason D. Allen, Neil M. Johannsen, Daniel P. Credeur, Conrad P. Earnest, Timothy S. Church, Eric Ravussin, William E. Kraus and Michael A. Welsch
Article Type: Research Article | First Published: May 16, 2020
Deterioration of body composition with advancing age is related to functional decline. This study examined the effects of a novel progressive exercise training program on body composition in individuals > 70 y, at risk of losing functional independence. Aging is associated with significant changes in body composition. Evidence from the Baltimore Longitudinal Aging Study (BLAS) demonstrates Fat Free Mass (FFM) increases up to the 3rd decade of life, after which it remains relatively stable until ...
Open Access DOI:10.23937/2469-5718/1510164
Factors that Influence Injuries Occurrence in Jiu-Jitsu Competitors
Tulio Fernandes de Almeida and Angelica Rodrigues de Araujo
Article Type: Research Article | First Published: April 29, 2020
The Brazilian Jiu-Jitsu (BJJ) is known for its efficiency and competitiveness, the modality has shown an increase in the practitioner’s number and international level competitions, leading to worldwide popularization. Even with worldwide success and recognition, the number of studies on the modality did not follow this growth, which makes it difficult to categorize the sport and identify the factors related to injuries, which is essential to promote and plan interventions aiming at injury prev...
Open Access DOI:10.23937/2469-5718/1510163
Bilateral Simultaneous Distal Biceps Rupture: A Case Report and Review of the Literature
John Reza Matthews, MD and William Wind, MD
Article Type: Review Article | First Published: April 24, 2020
On physical examination, visual inspection demonstrated residual swelling within the antecubital fossae and ecchymosis extending to the proximal lateral forearm of both elbows, but more extensive on the left. There was an obvious deformity of both biceps musculature with proximal retraction of the muscle belly on the left. The deformity was accentuated with resisted elbow flexion. Both elbows demonstrated localized tenderness directly over the biceps tendon. On the right, the biceps tendon was p...
Open Access DOI:10.23937/2643-4571/1710017
A Solution for the Treatment of a Neglected Subset of Rare Diseases
Grant E Fisher
Article Type: Position Statement | First Published: May 07, 2020
Individual HRDs are made up of small patient populations, thus the high individual prices will amount to a relatively small total cost to insurers and the healthcare system overall. Treatments for HRDs will, in almost all cases, represent the first and only available treatments. As the collective price will not be problematic and with treatments being the first available, insurers will have an incentive to cover the prices necessary to develop and commercialize these therapies....
Open Access DOI:10.23937/2378-3001/1410099
Intracranial Hemorrhage Associated with Sildenafil Use: A Very Rare Complication
GUNTEL Murat, CAN Hakan, GOK Fatma, TANGULEC Goncagul, BALIKEL Unal and USTA Busra Nur
Article Type: Case Report | First Published: April 29, 2020
Intracerebral hemorrhage (ICH) (International Classification of Diseases, 9th Revision) is a neurological deficit documented by brain CT or MRI showing the presence of an intracranial bleed in the parenchyma of the brain. ICH is a serious cerebrovascular condition associated with high mortality and morbidity in adults It can be classified as primary and secondary according to etiology. Primary intracranial hemorrhage often develops due to hypertension or amyloid angiopathy. Secondary intracrania...
Open Access DOI:10.23937/2643-3885/1710044
Metatarsophalangeal Joint Fusion using Plate a Lag Screw-Single Surgeon Experience in a District General Hospital
Muhammad Murtaza Khan and Dakshinamurthy Sunderamoorthy
Article Type: Original Article | First Published: May 06, 2020
We retrospectively evaluated the patients who were operated for MTPJ fusion of big toe from January 2015 to December 2018. Rate of non-union and functional outcome (pre and post op MOXFQ score) were considered as a primary outcome. Overall patient satisfaction was considered as the secondary outcome. A total of 28 patients were operated and they were followed using clinical notes. Our mean follow up was for a period of 16 months (1.34 years). The average age of our patients was 68.35 years, 2 ma...
Open Access DOI:10.23937/2377-3634/1410122
Economic Assessment of Direct Cost of Illness of Diabetes Mellitus at Dessie Referral Hospital, North East Ethiopia
Zinash Alemu, Birhanu Demeke Workneh, Solomon Ahmed Mohammed and Moges Workneh Ayele
Article Type: Research Article | First Published: May 06, 2020
Cross-sectional study was conducted on 217 participants from November 30, 2016 to December 31, 2017, and data were extracted from patients registries and analyzed using SPSS version 20. Linear regression was used to assess the statistically significant difference in the cost of treatment of diabetes. The study calculated direct medical and non- medical costs by multiplying the quantity of each service by their respective unit costs. The total direct medical and non-medical costs per year were 12...
Open Access DOI:10.23937/2474-3674/1510104
Depression and Anxiety Levels of Parents of Children Evaluated with Head Trauma in Emergency Department
Suna ERAYBAR, Serhat ATMACA, Yasemin NENNICIOGLU, Ibrahim TAYMUR, Melih YUKSEL and Erol ARMAGAN
Article Type: Original Article | First Published: May 04, 2020
The fear of having a serious pathology with the symptoms of head trauma and the promt for exclusion of pathologies by imaging methods increase the admissions to the emergency services. Nowadays, the increasing frequency of admissions may be due to parents' level of awareness about head trauma, easy access to health services or anxiety and depression levels of parents. Two hundred children with mild head trauma under 5 years of age were included in the study. After the initial evaluation, a descr...
Open Access DOI:10.23937/2378-2951/1410175
New Onset Atrial Fibrillation in Health Profession Student with Newly Diagnosed ADHD: A Case Report on Wellness and Cardiovascular Consequences of Burnout
Mary Gao, Justin Chin, DO, Gayathri Nagendiram, Derek Chen, Parth Rajyaguru, DO and Christine Lomiguen, MD
Article Type: Case Report | First Published: May 06, 2020
A 23-year-old Caucasian male presented to the emergency department after a 10-minute episode of dizziness, headache with visual aura, shortness of breath, palpitations, and chest pain after exercise, specifically running. Past medical history was significant for recent diagnosis of attention deficit hyperactivity disorder for which he was started on 54 mg Ritalin (extended release methylphenidate) three months prior. He denied any known congenital or structural heart disease, prior cardiac arrhy...
Open Access DOI:10.23937/2643-4512/1710043
Coping with Shortage of Ventilators in COVID-19 Pandemic: Indian Context and Exploring Effective Options in Countries with Limited Healthcare Resources
Rajit Jhingan, M.B.B.S, M.D, Vidushi Sharma, M.B.B.S, M.D, Prem Parkash Khosla, M.B.B.S, M.D, Deepak Bhasin, M.B.B.S, M.D and Harpal Singh, M.B.B.S, DA
Article Type: Commentary | First Published: May 25, 2020
At the very outset, it needs to be well understood that early assessment and anticipating the need for non-invasive measures will halt progression of disease into ARDS. This will not only reduce the chances for invasive ventilation but also aid in early weaning, thereby decreasing the overall ventilator use. COVID-19 patients should ideally be managed in negative pressure isolation rooms, but most public hospitals would not have this facility. The next best thing is to manage these patients in c...