Open Access DOI:10.23937/iasar-2017/1710005
Urban Ambient Air Pollution and Behavioural Disorders
Mieczysław Szyszkowicz
Article Type: Research Article | First Published: July 30, 2019
Urban ambient air pollution is identified as a risk factor for cardiovascular and respiratory morbidity and mortality. There is growing evidence suggesting associations between air pollution and a wide range of additional negative health conditions. The existing literature supports the association between exposure to ambient air pollutants and brain health. Among such reported effects are increased incidence of neurological and psychiatric disorders including cognitive decline, anxiety, depressi...
Open Access DOI:10.23937/2378-3419/1410120
Performance of Three Prognostic Models in Critically Ill Patients with Cancer: A Prospective Study
Frank D Martos-Benitez, PhD, MD, Hilev Larrondo-Muguercia, MD, David Leon-Perez, MD, Juan C Rivero-Lopez, MD, Versis Orama-Requejo, MD and Jorge L Martinez-Alfonso, MD
Article Type: Original Article | First Published: July 17, 2019
Predicting mortality is one of the greatest challenges for critical care physicians. Severity scoring systems integrate clinical data to estimate the probability of death, which can be used to facilitate resource utilization or continuing quality improvement and to stratify patients for clinical research. Prospective validation in different populations of critically ill patients improves the applicability of the model to these settings. Furthermore, the performance of a prognostic score must be ...
Open Access DOI:10.23937/2378-2951/1410154
Angiographic Pattern of Coronary Artery Disease in Diabetic Patients Having Abnormal Ankle Brachial Index
Syed Haseeb Raza Naqvi, MBBS, FCPS, Han Naung Tun, MBBS, MD, Abdul Razzaq, MBBS, FCPS, Zubair Zaffar, MBBS, FCPS, Syed Nauman Ali, MBBS, FCPS, Haroon Babar, MBBS, FCPS and Tariq Abbas, MBBS, FCPS, FRCP
Article Type: Research Article | First Published: August 09, 2019
A total of 115 patients were included in the study. The mean age of patients was 62.40 years with standard deviation of 2.78 years. Majority of the patients in the study were male (68.7%). Mean ABI was of study participants was 1.2 with standard deviation of 0.58 while mean duration of disease was 3.2 years with standard deviation of 0.7 years. 97 of the study participants were hypertensive and 18 were smokers. A total of 28 patients (24.3%) did not have CAD as per angiography while the rest had...
Open Access DOI:10.23937/2378-2951/1410153
The Impact of Transcatheter Aortıc Valve Implantatıon on Neutrophıl to Lymphocyte Ratıo: A Retrospective Study
Abdulmecit Afsin, MD, Veysi Kavalcı, MD, Zeynep Ulutas, MD, Hakan Kaya, MD, Erdal Akturk, Arif Suner and Necip Ermis
Article Type: Original Article | First Published: August 03, 2019
Transcatheter aortic valve implantation (TAVI) has become a novel therapeutic option for patients with severe aortic stenosis who have been considered inoperable or high risk for conventional surgical aortic valve replacement. The aim of this study was to determine the effect of TAVI on neutrophil to lymphocyte ratio (NLR). A total of 97 patients with severe aortic valve stenosis undergoing TAVI in our clinic were included in the study. The patients were divided into two groups based on valve t...
Open Access DOI:10.23937/2572-4053.1510025
Chronotherapy for the Treatment of Hypertension among Patients with Obstructive Sleep Apnea: A Systematic Review
Magdalena Deaton, MPH, MSN, RN, AGNP-C, Jeanne Ruff, MPH, BSN, RN and Lisa Boss, PhD, RN, CNS, CEN, CNE
Article Type: Research Article | First Published: July 26, 2019
Hypertension (HTN) and obstructive sleep apnea (OSA) are associated with increased risk for adverse cardiovascular events. Comorbid HTN with OSA is often resistant to pharmacologic treatment. Chronotherapy, the timing of treatment based on circadian rhythms, may prove to be a valuable, cost-effective tool for improving blood pressure (BP) control among those with OSA. This Systematic Review appraises the existing literature regarding morning (a.m.) vs. evening (p.m.) administration of antihypert...
Open Access DOI:10.23937/2572-3278.1510038
Five Fruit and Vegetable a Day Does Not Reflect the Upward Trend of Obesity in the U.S.
Yilin Yoshida, Chester L Schmaltz, Jeannette Jackson-Thompson, Adam Bouras, Esmaeel Rahmani and Eduardo J Simoes
Article Type: Original Research | First Published: July 27, 2019
After almost three decades of U.S. surveillance in fruit and vegetable (F&V) intake and obesity, it is important to evaluate their usefulness for monitoring prevention and health promotion efforts in public health. We used U.S. surveillance data to evaluate whether the 16-year trends of F&V intake, measured by the prevalence of eating five or more servings of fruits and vegetables a day (FV5/day) is related to obesity trend as measured by its prevalence in the same period. We also evaluated whet...
Open Access DOI:10.23937/2469-5793/1510108
A Minus That Makes the Difference
Vitale G, Vitale S, Pierini P and Visconti CL
Article Type: Research Article | First Published: June 28, 2019
Acute Coronary Syndromes include a wide variety of clinical scenarios. Coronary Angiography (CA) is a low-resolution imaging technique and its inability to provide a satisfactory tissue characterization of culprit lesions could be a concern in some cases. Optical Coherence Tomography (OCT) is an emergent intravascular high-resolution imaging modality which could be complementary to CA in challenging cases. We report a case of a young man in whom OCT had been determinant to understand the patholo...
Open Access DOI:10.23937/2378-3397/1410105
A Case Report of an Epiphrenic Esophageal Diverticulum was Treated via Laparoscopic Transhiatal Diverticulectomy
Kusay Ayoub, Bashar Banjah and Bassel Banjah
Article Type: Case Report | First Published: July 31, 2019
Epiphrenic diverticulum is a relatively rare clinical case. It is defined as an outpouching of the mucosal and submucosal layers through the muscular layer of esophagus in association with motility disorders. Most patients are asymptomatic and the other manifest with variable symptoms including dysphagia, regurgitation, halitosis, vomiting, heartburn and weight loss. Herein we report a case of a 50-year-old female who presented to our hospital with complaint of dysphagia and weight loss. The cl...
Open Access DOI:10.23937/2378-3397/1410104
Intestinal Obstruction Secondary to Intra-Luminal Retained Laparotomy Towel: A Case Report
Joseph Yorke, Roland Williams Awoonor, George Ansong, Bernard Hammond, Edward Amoah Boateng, Frank Gyamfi, Francis Somiah-Kwaw Aitpillah, Kwabena Acheamfour Ababio, Dorcas Ahulu, Dennis Afful Yorke and Emmanuel Acheampong
Article Type: Case Report | First Published: July 29, 2019
Retained surgical sponges (gossypiboma) are very rare but occur even under the presumed correct sponge counts postoperatively. Gossypiboma has the ability to cause significant harm to the patient and carry heartfelt medicolegal and professional repercussions to clinicians and hospitals. Its mani-festations may be non-specific and may take weeks, months or even years from the time of surgery. Therefore, diagnosis is based on a high index of suspicion with careful assessment of the patient's histo...