Open Access DOI:10.23937/2378-3656/1410452
Successful Use of Naloxone to Reverse Opioid-Induced Atrial Fibrillation
Amandeep Singh, MD
Article Type: Case Report | First Published: 2024/06/30
A 25-year-old male presented to the Emergency Department in atrial fibrillation with a rapid ventricular response in the setting of acute heroin intoxication. A single IV does of naloxone 0.4 mg immediately converted the patient to a sinus rhythm after three doses of metoprolol failed to slow the patient’s heart rate. Given the safety profile of naloxone, this therapy can be considered in carefully selected cases of acute heroin intoxication complicated by acute atrial fibrillation with rapid ...
Open Access DOI:10.23937/2469-5742/1510094
Colovesical Fistula Secondary to Colorectal Adenocarcinoma: A Diagnostic and Therapeutic Challenge
Abdulrahman Alquliti, Abdullah Salah Alharbi, Muhammad Ahmad Alghamdi, Abdulaziz Albalawi, Hamad Alakrash and Abdullah Alghamdi
Article Type: Case Report | First Published: 2024/06/30
Colovesical fistulas (CVFs) represent a rare but clinically significant complication, often associated with diverse etiologies including malignancies. Herein, we present a case of a 71-year-old male with a history of Benign Prostatic Hyperplasia (BPH) who presented with hematuria and dysuria. Initial investigations revealed a bladder mass, which upon further evaluation unveiled a colovesical fistula secondary to colorectal adenocarcinoma. The patient underwent laparoscopic sigmoidal resection, c...
Open Access DOI:10.23937/2643-4474/1710160
Treatment of a Lacerated Aneurysmal Neck during Surgical Clipping of Usual Saccular Cerebral Aneurysms: Two Illustrative Cases
Hideki Nakajima, MD, Morio Takasaki, MD, Taku Hongo, MD, Katsuma Iwaki, MD, PhD, Ryota Miyake, MD and Yasuhiro Fujimoto, MD
Article Type: Case Report | First Published: 2024/06/29
We report two cases of a usual saccular cerebral aneurysm with an iatrogenic lacerated aneurysmal neck during surgical clipping. In both cases, the aneurysmal neck was lacerated iatrogenically, and the aneurysm was clipped safely after suturing the lacerated portion. In treatment of a lacerated aneurysmal neck during surgical clipping of usual saccular cerebral aneurysms, the aneurysm may be considered to be clipped after suturing the lacerated portion. However, trapping and/or bypass surgery be...
Open Access DOI:10.23937/2378-346X/1410155
Vision Screening Guidelines for Schools in Qatar
Shadi Al Ashwal, Mohamed Hamad Al-Thani, Kholoud Ateeq Al-Motawaa, Halla Salih and Badria Al Maliki
Article Type: Review Article | First Published: 2024/06/24
It is a fact that the burden of visual disability among school age children; low vision and blindness, across the globe is significant, furthermore the condition of low vision is an important disability worldwide. School vision screening program has a great benefit in detection of obscure visual abnormalities which interfere with daily living activities of students and hinder their academic success and learning achievements. Schools are an ideal place to monitor the health of children. Screening...
Open Access DOI:10.23937/2378-346X/1410154
A Unique Pediatric Case of Miller Fisher Syndrome
Carl Pellerin, MD, Amber Nanni, BS and Coby Ray, MD, MS, MBA
Article Type: Case Report | First Published: 2024/06/22
This case report introduces a 6-year-old male with a rare presentation of Miller Fisher syndrome (MFS), an autoimmune-mediated peripheral neuropathy. The patient exhibited acute-onset right facial weakness, asymmetric bilateral upper and lower extremity abnormalities, areflexia, and ataxia. He reported diplopia exacerbated by lateral gaze, gastrointestinal upset, and a constellation of other systemic symptoms. Examination revealed bilateral abduction limitations as well as right-sided cranial ne...
Open Access DOI:10.23937/2572-4010.1510051
Impact of Glucagon-Like Peptide-1 Receptor Agonists Prior to Bariatric Surgery
Zachary Martin, PharmD, BCPS and Timothy Koch
Article Type: Original Article | First Published: 2024/06/20
With the increase in prevalence of obesity there has been an increase in both surgeries and medications implemented to treat obesity. Weight loss from bariatric surgeries is partially attributed to its impact on endogenous GLP-1, which is the target of the weight loss medication class GLP-1 RA. These medications have been used after surgery to provide additional weight loss but there are no studies analyzing the impact of GLP-1 RA use prior to bariatric surgery. Therefore, the purpose of this st...
Open Access DOI:10.23937/2378-346X/1410153
A Comprehensive Overview of Uveitis: An Association Between Vogt-Koyanagi-Harada Disorder and Behçet's Disease
Sagnika Bhattacharjee, Sakshi Gupta, Supta Chakraborty, Madhvi Ghadge, Pallavi and Dr. Vartika Jain
Article Type: Review Article | First Published: 2024/06/20
The uvea, comprising the blood vessels in the choroid retina, ciliary body, and iris, experiences inflammation. Non-infectious conditions, such as Vogt-Koyanagi-Harada illness and Bechet's disease, frequently cause uveitis. However, the pathophysiology of uveitis is also idiopathic. Unbalanced immune systems, genetics, and epigenetics all have a pivotal role in the development of disease. Several racial and ethnic groups strongly link HLA to BD (HLA-B51) and VKH (Vogt-Koyanagi-Harada) (HLA-DR4, ...
Open Access DOI:10.23937/2572-4010.1510050
Dietary Factors Predicted Prevalence of Overweight and Obesity among Adolescent Girls in Nigeria
Motunrayo Funke Olumakaiye, PhD, Ogechi Nzeagwu, PhD, Oluwaseun Ariyo, PhD, Olufunmilola Otitoola, PhD, Bolanle Popoola, MSc and Ayodele Gbemileke, MPH
Article Type: Original Article | First Published: 2024/06/19
A descriptive cross-sectional study of 2261 in-school adolescent girls, 10-19 years was conducted using a multistage stratified random sampling procedure from three geopolitical zones in Nigeria. Dietary factors - Nutrition Knowledge (NK), Dietary Diversity (DD), Dietary Behaviour (DB) and Dietary Proficiency (DP) were investigated. Weight and height were measured using standard procedure. Body Mass Index-for-age percentiles were used to classify into nutritional status (NS). Chi-square was used...