Open Access DOI:10.23937/2469-5793/1510162

Itchy Rash Worsened by Topical Steroids: The Role of Primary Care Physicians in Preventing Tinea Incognito

Morgan A Hammack, BA, Talia Noorily, MD and Ida Orengo, MD

Article Type: Case Report | First Published: 2024/05/24

Tinea corporis is a common pruritic rash that is frequently seen by family medicine physicians. Tinea incognito is an exacerbation of a dermatophyte infection due to topical corticosteroid use that is commonly prescribed to alleviate pruritis. We present a case of a 73-year-old male with an itchy rash on his chest worsened by previously prescribed topical corticosteroids, with skin scrapings consistent with tinea incognito. We herein review clinical features, diagnostic techniques, and proper tr...

 Open Access DOI:10.23937/2378-3397/1410166

Impact of Combining Laparoscopic Sleeve Gastrectomy with Omentopexy on Gastro Esophageal Reflux Symptoms

Wai Yip Chau, MD, FACS, FASMBS and Nitin Sharma, MD, FACS, FASMBS

Article Type: Case Report | First Published: 2024/05/23

Laparoscopic sleeve gastrectomy (LSG) is a common bariatric surgery and has its discrete advantages or disadvantages as compared to more complex bariatric procedures. Several studies have reported increased incidence of de novo gastroesophageal reflux (GERD) or its aggravation following LSG. Since GERD causation is multifactorial, no ideal method or technique exists to overcome this challenging complication especially associated with LSG. GERD affects quality of life and is a risk factor for pat...

 Open Access DOI:10.23937/2643-4059/1710041

Incidence of Risk Factors for and Evolution of Depression in Prenatal and Postpartum Pregnant Women: A Prospective Cohort Study

Eduardo Antonio Rahme Amaro, Caio Anisio Pessoa Sayeg, Daniela Cristina da Silva Carvalho, Mônica Maria Siaulys and Ligia Andrade da Silva Telles Mathias

Article Type: Research Article | First Published: 2024/05/22

Postpartum depression (PPD) is associated with severe adverse maternal outcomes, significantly contributing to avoidable maternal mortality. In Brazil, most studies on the incidence of and risk factors for PPD have been cross-sectional and conducted in public maternity hospitals. Given the scarce evidence of studies on populations of pregnant women in private hospitals, this study was conducted with pregnant women at private maternity hospitals....

 Open Access DOI:10.23937/2469-5718/1510265

Comparative Review of Literature for Post-Operative care- Anterior Cruciate Ligament surgical type: Bone-Patellar-Bone and Semitendinosus Autografts

Felicity Davies, Alexander T. McDaniel, Lindsey H. Schroeder, Angila Berni, Daniel Cobble and Carolina Priester

Article Type: Review Article | First Published: 2024/05/19

The two most common autografts for anterior cruciate ligament (ACL) reconstruction (ACLR) are bone-patellar tendon-bone (BPB) and semitendinosus-gracilis (STG). There is currently no consensus on the optimal graft choice. The type of graft chosen for ACLR is often made by the physician with minimal input from the patient. The primary aim of this study was to review the current literature and examine differences in post-operative care, time to discharge, and clinical outcomes between the two proc...

 Open Access DOI:10.23937/2378-3656/1410450

Water Intoxication and Hyponatremia due Religious Ritual

Ibtihal Alsahabi, Rizq Badawi, Yusra Aldughaishem and Moosa Khalifah

Article Type: Case Report | First Published: 2024/05/20

This paper discusses a patient who developed severe acute hyponatremia due to consuming an excessive amount of water (19 liters) over 4 hours during a religious ritual called "Ruqayyah." Understanding this case can contribute to raising awareness and preventing similar occurrences in the future....

 Open Access DOI:10.23937/2469-5858/1510154

Older Adults Surviving Natural Disasters and Aging in Place: A Harsh Toll and the Possibility of a Path from Trauma to Resiliency

Fotini Debonera, MD, PhD and Sotiris Zarogiannis, PhD, MPH

Article Type: Research Article | First Published: 2024/05/16

Our world is changing. Globally the population of older people will account for 1.4 billion by 2030. In 2050 we are seeing the prevalence of disability in developing countries to increase by 400% due to aging population. At the same time, natural disasters have increased by 60% in the last decade and climate change is impacting natural disasters by increasing the frequency of flooding, landslides, drought. The population of older adults is amongst the groups of the most vulnerable to the negativ...

 Open Access DOI:10.23937/2572-3286/1510096

Serum Magnesium in Patients on Chronic Haemodialysis with a Standard Dialysate Magnesium - A Single Centre Study

Dharshi Hewa Wellage, Nasreen Samad and Monte Cherryl

Article Type: Clinical Research | First Published: 2024/05/16

Magnesium (Mg) is the second most abundant intracellular cation [1]. Despite the well-recognised clinical importance of magnesium, Mg is not included in routine laboratory assessments [2,3]. Therefore, Mg is sometimes referred to as the forgotten or neglected cation [4,5]. Magnesium plays a pivotal role in maintaining normal cell membrane functions [6], regulation of blood pressure and vascular resistance. Magnesium is needed as a cofactor in most enzymatic processes [7]. Deficiency of magnesium...

 Open Access DOI:10.23937/2469-5807/1510149

Non-Familial Acrokeratosis Verruciformis of Hopf: A Rare Case Report

Tummidi Santosh and Manoj Kumar Patro

Article Type: Case Report | First Published: 2024/05/18

Acrokeratosis verruciformis of Hopf is a rare genodermatosis with an autosomal dominant mode of inheritance. It is a disorder of keratinization, characterized by multiple, flat-topped, skin-coloured keratotic lesions resembling plane warts typically observed on the dorsum of the hands and feet....

 Open Access DOI:10.23937/2469-5750/1510127

Case Series of Kaposi Sarcoma in HIV-negative Men who have Sex with Men: Potential Therapeutic Approaches

N.T. Hilhorst, B. Devocht, E. Verhaeghe, L. Lapeire, L. Vandekerckhove, S. Desmet, MA. De Scheerder and L. Brochez

Article Type: Case Series | First Published: 2024/05/18

Kaposi sarcoma (KS) is a tumor originating from endothelial cells, both vascular and lymphatic, and is associated with human herpesvirus 8 (HHV-8). Four distinct KS subtypes have been defined: Classic, endemic, iatrogenic, and epidemic or acquired immunodeficiency syndrome (AIDS)-related KS. A fifth subtype has more recently been recognized in men who have sex with men (MSM) in the absence HIV infection. We report here on three cases of KS in HIV-negative MSM and review the literature. Two patie...

 Open Access DOI:10.23937/2469-5777/1510104

A Distinct Paradigm in the Management of Pancreatic Trauma

Elizabeth Tan, Owen McKay, Xin Wei Tan, Tom Clarnette3 and Daniel Croagh

Article Type: Research Article | First Published: 2024/05/17

Historically with pancreatic trauma, complete disruption of the main pancreatic duct (MPD), classified as Grade IV-V by the American Association for the Surgery of Trauma (AAST), necessitated a damage-control laparotomy. This was to avoid mortality, shorten diet upgrade timeframe, and hence shorter length of stay. However, acute pancreatic resection entailed complications of pancreatic fistulas and leaks....