Open Access DOI:10.23937/2378-2951/1410172
Coronary-Pulmonary Arterial Fistula in a Heart Transplant Patient
Weiliang Huang, MBBS, MRCP
Article Type: Case Report | First Published: April 21, 2020
A 40-year-old Indian gentleman has a history of dilated cardiomyopathy secondary to viral myocarditis. He was treated with heart failure medications, received an automated implantable cardioverter-defibrillator in 2005, and left ventricular assist device (LVAD) in 2009. He subsequently underwent an orthotopic heart transplant in 2011 at the age of 34. The donor was a 38-year old male patient with a brain tumour, which was complicated by seizures that resulted in hypoxic-ischaemic encephalopathy....
Open Access DOI:10.23937/2690-3172/1710005
Intellectual Disability and its Association with Care Givers Burden at Sasaram
Upendra Singh, Sweta and Bhupendra Singh
Article Type: Original Article | First Published: April 20, 2020
Cross sectional hospital based technique was used for the study. Total 98 children with intellectual disability along with their caregivers were recruited through systematic sampling from outpatient department of District Mental Health Program Unit (DMHP), District Hospital, of Bihar. Informed consent was sought from the participants and structured socio-demographic data sheet and family burden interview schedule was administered....
Open Access DOI:10.23937/2377-4630/1410104
Effect of Opioid-Free Anaesthesia on Perioperative Period: A Review
Tatiana Basto and Humberto S Machado
Article Type: Review Article | First Published: April 20, 2020
Balanced anaesthesia relies on the administration of opioids in the perioperative period as antinociceptive agents. There is no clear evidence that intraoperative opioids result in reduction of postoperative pain scores. Opioid-free anaesthesia (OFA), combination of various opioids- sparing techniques leading to no administration of intraoperative systemic, neuraxial or intracavitary opioids, arises from the attempt to develop anti-hyperalgesic techniques to improve postoperative pain control. T...
Open Access DOI:10.23937/2469-5742/1510071
Complications of Laparoscopic Versus Open Nephrectomy for Xanthogranulomatous Pyelonephritis: A Contemporary Series
Neel Raval, Justin Benabdallah, Leslie Selden L, Joel Vetter, Ramakrishna Venkatesh R and Robert S Figenshau
Article Type: Research Article | First Published: April 15, 2020
Xanthogranulomatous pyelonephritis (XGP) has historically been managed with open nephrectomy. In the era of minimally invasive surgery, a small number of reports have evaluated the use of a laparoscopic approach in XGP, with variable results. We evaluated the complications of nephrectomy for XGP over the last 18 years. This represents one of the largest series to date comparing laparoscopic and open nephrectomy for XGP....
Open Access DOI:10.23937/2643-4512/1710038
Current Circumstances of Corona-Virus (Covid-19) in India
Mohammad Athar
Article Type: Review Article | First Published: April 25, 2020
The Coronavirus or Covid-19 is a large family of viruses that causes illnesses ranging from the common cold to acute respiratory syndromes, but the current virus is a novel strain not seen before. Common symptoms of the novel Coronavirus strain include respiratory symptoms such as fever, cough, and shortness of breath, according to the WHO. The WHO has declared the Coronavirus epidemic as a global health emergency....
Open Access DOI:10.23937/2378-3656/1410306
The Management of an Early COVID-19 Case with Severe Acute Respiratory Distress Syndrome in a Community Hospital in Ontario, Canada
Maham Khalid, BMSc, Han-Oh Chung, MD, MSc HS Ed, Dimitra Fleming, BSc Phm, George Farjou, MD and Jennifer LY Tsang, MD, PhD
Article Type: Case Report | First Published: April 23, 2020
We reported an early COVID-19 case in a young patient in a Canadian community intensive care unit (ICU) with severe acute respiratory syndrome (ARDS). We discussed the management according to the recently published Surviving Sepsis Guidelines on COVID-19. This will provide critical care physicians important and timely information on the management of severe COVID-19 using a real case when critical care physicians are facing a surge in COVID-19 cases. Many of the recommendations regarding ARDS ar...
Open Access DOI:10.23937/2469-5858/1510088
Lubiprostone for the Treatment of Constipation in Patients with Dementia
Atsushi Hamuro, MD, PhD, Minoru Honda, Hideki Kawaguchi and Hoai Noguchi
Article Type: Short Note | First Published: April 23, 2020
Chronic constipation is a common gastrointestinal disorder and it impairs patients’ quality of life (QOL). Because of their reduced cognitive function, dementia patients often find it difficult to verbalize the abdominal discomfort caused by constipation and bloating, and it can lead to ileus and loss of appetite. Although stimulant and osmotic laxatives, and enemas are commonly used to treat constipation, it has been reported that they can cause dependency, cathartic colon, and hemorrhoids...
Open Access DOI:10.23937/2377-3634/1410120
Eliminating the Health Disparity of the Diabetic Foot: A Continuing Public Health Crisis for African Americans and Latinos
Jacqueline E Sharpe, PhD, RN, CHES
Article Type: Review article | First Published: April 30, 2020
The aim of this paper is to maintain attention to the plight of prevention of the diabetic foot ulcer, particularly for those racial/ ethnic minority persons who must not be overlooked for healthcare measures that can save their lives, and for healthcare providers to not allow ones inability to pay be a rejection for not preserving that life and quality of life. The release of the 2020 National Diabetes Statistics Report for the United States continues to show that the ethnic minority groups, ag...
Open Access DOI:10.23937/2474-3674/1510102
Possibility Enhanced Recovery Program in Emergency Surgical Treatment of Patients with Colorectal Obstructive Cancer
Sizonenko NA, Surov DA, Soloviev IA, Demko AE, Babkov OV, Martynova GV, Sviatnenko AV, Osipov AV, Yastrebov IP and Bezmozgin BG
Article Type: Original Article | First Published: April 15, 2020
During the treatment of the patients of the ERAS group in preoperative period, the following measures were taken: Patient information, his psychological preparation, prevention of postoperative pain, nausea and vomiting, thromboembolic and infectious complications. Intraoperative measures included local anesthesia of the skin in the line of laparotomy access, colon and small (under indications) intestines decompression, small intestine lavage, embryology oriented surgery and D3 lymphadenectomy, ...