Open Access DOI:10.23937/2643-4571/1710016

Rare Diseases in Mediaeval Europe

Dooms M

Article Type: Review Article | First Published: March 28, 2020

Monastic rules made an end to infanticide and child neglect in the Middle-Ages by caring for children with (rare) disorders: Disabled and impaired citizens became part of daily life. Historic, paleo-pathological, iconographic and genetic research revealed several cases of acromegaly, achondroplasia, alpha-1-antitrypsin deficiency, cystic fibrosis, Down syndrome, Dupuytren’s contraction, goiter, Marfan syndrome, Paget’s disease and phenylketonuria. These observations want to illustrate that d...

 Open Access DOI:10.23937/2469-5807/1510106

Intraventricular Pilocytic Astrocytoma in an Adult Patient

Joshua Hendrix and Zhenggang Xiong, MD, PhD

Article Type: Case Report | First Published: March 16, 2020

Pilocytic astrocytoma’s are tumors of the central nervous system mostly during the first two decades of life. Although they are mostly common in the midline structures of children, pilocytic astrocytoma within the ventricular system of an adult is rare. To our knowledge, only one single histologically and molecularly confirmed case was documented in the literature up to this time. We report a case of a 38-yearold woman with obstructive hydrocephalus secondary to a brain tumor within the third ...

 Open Access DOI:10.23937/2643-3885/1710042

Case Report: Concurrent Sustentaculum Tali and Lateral Talar Body Fracture in a 19 Year Old Patient

Ioannis M Stavrakakis, George E Magarakis, Zacharias Christoforakis and Ioannis Daskalakis

Article Type: Case Report | First Published: March 28, 2020

Fractures of the sustentaculum tali and body of the talus are rare high energy injuries. Thorough clinical examination as well as proper imaging studies are necessary in order not to miss this kind of fractures. Severity of the injury, amount of displacement, soft tissue compromise, accuracy of reduction as well as stability of fixation are the main factors affecting the outcome. This study presents a case of a 19-year-old patient, who sustained a sustentaculum tali fracture with a concomitant l...

 Open Access DOI:10.23937/2378-3419/1410133

Effect of a Training Workshop on Oncology Clinicians’ Psychosocial Care Delivery Self-Efficacy and Perceived Barrier in Nigeria

Chioma Asuzu and Elizabeth Akin-Odanye

Article Type: Original article | First Published: March 26, 2020

Psychosocial care is an important part of a multidisciplinary approach to cancer management to mitigate the experience of distress often reported among those affected by cancer. Not many specialists are available in Nigeria to detect and address psychosocial distress in cancer patients. This study was designed to assess the effect and the sustainability of the effect of a training workshop on the psychosocial care delivery self-efficacy and perceived barrier among oncology clinicians in Nigeria....

 Open Access DOI:10.23937/2474-3674/1510101

The Reliability of Oxygen Saturation Compared with Arterial Blood Gas Analysis in the Assessment of Respiratory Failure in Acute Asthma

Mustafa Mahmood Eid

Article Type: Original Research | First Published: March 19, 2020

Asthma is one of the leading causes of respiratory failure. It is important to predict which patients might suffer from respiratory failure. The aim of this study is to investigate the possibility of using pulse oximetry as alternative to arterial blood gas analysis for measuring oxygen saturation (SaO2) to predict hypoxic respiratory failure. A prospective study was conducted in the Emergency Department (ED) of [name deleted to maintain the integrity of the review process] over one year. A conv...

 Open Access DOI:10.23937/2378-2951/1410170

A Case Report of Aspergillus Endocarditis, its Complications and Associated Morbidities

Jian Jing Tan, Sheldon Shao Guang Lee, Siang Chew Chai and Jason Jia Hao See

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

Fungal endocarditis is a notorious disease with a high mortality rate and commonly presents with embolic phenomenon. We report a case of prosthetic valve-related Aspergillus endocarditis with aortic root pseudoaneurysm that presented with acute limb ischemia. In addition, we highlight the significant morbidity that is associated with this fungal infection. With a high clinical index of suspicion and a multidisciplinary team approach, a favourable outcome can be achieved....

 Open Access DOI:10.23937/2377-4630/1410102

Postpartum Infectious Sacroiliitis Temporally-Related to Continuous Labor Epidural Analgesia: Was the Epidural to Blame? A Case Report and Review of the Literature

Mafdy Basta, MD

Article Type: Case Report | First Published: March 26, 2020

Infectious (bacterial) sacroiliitis, though rare, yet needs to be considered at the differential diagnosis of back/leg pain in parturients. The following is a case of infectious sacroiliitis in a postpartum patient that presented four days after delivery with hip and leg pain. Interestingly, the patient’s labor analgesia was conducted with a continuous lumbar epidural analgesia; however, a causal relationship remains to be determined....

 Open Access DOI:10.23937/2469-5823/1510140

Clinical Audit on Neonatal Care Unit Structure in Five Selected Governmental Hospitals of Addis Ababa, Ethiopia 2019

Asrat Demtse, Girum Sebsibie, Yohannes Godie, Yeshi Birhan, Amina Nesru, Askal Assefa, Aster Teketel, Fatuma Aragie, Fetlework Anteneh, Gellila Mekuriya, Gemechis Wari, Hana Endale, Lemlem Berihu, Lensa Habtamu, Mahelet Alemayehu, Misgana Hirpha, Mohammed Tessema, Muluye Dejen, Netsanet ketemaw and Sitotaw Molla

Article Type: Original Research | First Published: March 20, 2020

Establishing and/or strengthening Neonatal Intensive Care Unit (NICU) in hospitals includes providing training and continuous support for newborn health care providers and managers. Ensuring the basic equipment’s and supplies, strengthening the facility infrastructure and referral system are also mandatory. Clinical audit is the systematic analysis of the quality of health care, including the procedure used for diagnosis, treatment and care, the use of resources and the resulting outcome and q...

 Open Access DOI:10.23937/2643-4466/1710022

Serpentine Supravenous Eruption Docetaxel Related Diagnosed by Teledermatology

Nuria Barrientos Perez, MD, Patricia Ibeas Millan, MD and Jose Domingo Dominguez Aunon, PhD

Article Type: Case Report | First Published: February 28, 2020

Serpentine supravenous dermatitis is a rare eruption related with cytotoxic drug infusion. Several chemotherapeutic agents have been related with this entity. But, most of the published cases are caused by docetaxel. However, considering the high frequency of administration in oncology this rather unknown eruption should be known to all physicians, especially oncologist, dermatologist, internist and GP....

 Open Access DOI:10.23937/2469-5831/1510025

Factors Influencing Resident Research: Evidence from a 10-Year Cohort

Adnan N Kiani, Babatunde Olaiya, Richard Berg and Ateeq Rehman

Article Type: Research Article | First Published: March 19, 2020

ACGME has put great emphasis on scholarly activity during residency, yet ACGME has not been able to identify gaps in achieving these goals. We possess longitudinal data for the last 10 years across our residency training programs. With this, we have identified missing gaps as well as propose interventions to address gaps. The research design employs utilizing a standardized research instrument (questionnaire), answered by every resident at the onset and completion of residency training. This que...