Open Access DOI:10.23937/2377-3634/1410183

The Relationship between HbA1c and Glucose Management Indicator and Time in Range in Youth with Type 1 Diabetes: A Single Centre Study

Sirisha Kusuma Boddu, Xanthippi Tseretopoulou, A. Emile J. Hendriks, Ajay Thankamony and M. Loredana Marcovecchio

Article Type: Original Article | Publication Updated: 2024/05/31

As continuous glucose monitoring (CGM) becomes increasingly utilized, it is relevant to better understand the relationship between CGM metrics and HbA1c. We aimed to assess the concordance between HbA1c and both glucose management indicator (GMI) and time in range (TIR) in youth with type 1 diabetes (T1D)....

 Open Access DOI:10.23937/2469-5823/1510199

Clearing the Air: A Pharmacy Student-Led Health Education Initiative to Combat Adolescent Tobacco Use

Dakota Chavis, Aveeda Thavichith, Dalia Chamma, Vanessa White, Jasmine Jones, Bienfaiteur Mugisha and Amie J. Dirks-Naylor

Article Type: Research Article | Publication Updated: 2024/05/31

Tobacco use among adolescents is a growing problem that yields many negative side effects including cancer, lung disease, heart disease, and even death. Lowering the use of tobacco among the adult population starts with the prevention of tobacco use initiation. Thus, the objective of this study is to investigate the efficacy of an interactive educational session conducted by pharmacy students to enhance tobacco knowledge among fourth-grade students....

 Open Access DOI:10.23937/2469-5726/1510103

Adult-Onset Still's Disease following Covid-19 Vaccine - A Case Report

Aiga Grīnfelde, Anda Kadiša and Signe Zelča

Article Type: Case Report | Publication Updated: 2024/05/31

The spread of COVID-19 infection has led to rapid vaccine development. It has been shown that vaccination may lead to complications like adult-onset Still's disease. We report a case of a 47-year-old Latvian male who presented with a sore throat, persistent leukocytosis, a high spiking fever, and weakness within two days after receiving the first dose of the Moderna COVID-19 vaccine in April 2021. The patient was initially treated with empirical antibiotics; however, the symptoms did not improve...

 Open Access DOI:10.23937/2469-5750/1510128

Extramedullary Acute Undifferentiated Leukemia Presenting in the Skin and Lymph Nodes

Jeremy O'Brien, MD, Zern Chantel, MD and Ikpatt Offiong Francis, MD

Article Type: Case Report | Publication Updated: 2024/05/31

Extramedullary presentation of acute undifferentiated leukemia is uncommon, and it is unclear if this is an initial manifestation of a subsequent systemic disease. We present a 67-year-old Caucasian female with skin lesions and multiple enlarged lymph nodes. Microscopy showed diffuse leukemic infiltrates, positive for dim CD45, CD34, CD117, TdT, CD56 and CD43, but negative for HLADR, MPO, CD4, CD68, CD3, CD4, CD20, CD19, and CD79a. We discuss the differential diagnosis of acute undifferentiated ...

 Open Access DOI:10.23937/2469-5742/1510093

Devastating Consequences of Forgotten Ureteral Stents: An Alarming and Instructive Case Report

Saleh Abdelkerim Nedjim, Hissein Hagguir, Mahmoud Afifi, Amine Moataz, Mohamed Dakir, Adil Debbagh and Rachid Aboutaieb

Article Type: Case Report | Publication Updated: 2024/06/03

Double J or JJ ureteral stents are used daily in urology and have various indications. However, if forgotten or neglected, they can cause serious complications that can jeopardize the functional prognosis of the kidney and the patient's vitality. We are reporting a case of significant calcification and encrustation of bilateral double J ureteral stents that have been neglected for five years causing obstructive pyelonephritis and renal failure, posing a management challenge....

 Open Access DOI:10.23937/2469-5742/1510092

Trauma of Male External Genitalia Caused by A Domestic Dog Biting: A Rare Case Reporting with the Review of the Literature

Hissein Hagguir Berde, Saleh Abdelkerim Nedjim, Seffar Alae Eddine, Amine Moataz, Mohamed Dakir, Adil Debbagh and Rachid Aboutaieb

Article Type: Case Report | Publication Updated: 2024/06/02

External genital trauma due to animals biting is uncommon but it's usually a serious condition counting on the risk of bacterial infection and rabies. The clinical results are usually based on the severity, the duration of post- traumatic consultation and the attitude of management. We are reporting on a 20-years-old adult with no past medical history a victim of severe external genital trauma caused by a domestic dog biting. The clinical presentation was marked by anoozing tendercrotum and uret...

 Open Access DOI:10.23937/2469-5807/1510150

Primary Testicular Lymphoma in Newfoundland and Labrador, Canada: A 10-Year Evaluation

Jeremy O'Brien, MD, Zern Chantel, MD and Ikpatt Offiong Francis, MD

Article Type: Review/Case Series | Publication Updated: 2024/05/29

Primary large B-cell lymphoma of immune privileged sites (IP-LBCL) is a rare B-cell lymphoma that arises in the central nervous system (CNS), vitreoretinal tissues, and testis of immunocompetent patients. A search of the health records in the Canadian province of Newfoundland and Labrador over 10 years identified three cases. We highlight pertinent clinical and microscopic features from these cases and discuss the differential diagnosis of this uncommon condition....

 Open Access DOI:10.23937/2377-9004/1410259

.php?jid= ogcr" style="text-decoration: none;color: #151515;font-size: 18px; margin: 0px 0px 0px 0px;">Anaesthetic Management of a Parturient with Mixed Connective Tissue Disorder

Adethen Gunasekaran, MD, DNB, Vijayanthi Vijayan, MD, Keerthana Vijayakumar, MD and Naveen Vivek Sakkanan, MD, DNB

Article Type: Case Report | Publication Updated: 2024/05/27

Mixed connective tissue disorders are a group of autoimmune disorders with overlapping clinical features of rheumatoid, systemic lupus erythematosus, polymyositis, and scleroderma. They are associated with the presence of high titers of anti-U1RNP, anti-La, and anti-Ra antibodies [1]. The underlying pathophysiology is non-inflammatory vasculopathy. The presentation of these disorders includes arthralgia, Raynaud’s phenomenon, puffy hands, esophageal abnormalities, and cardiac problems such...

 Open Access DOI:10.23937/2572-4010.1510049

The 5As Model: Obesity Prevention and Management in Primary Care

Matthew A. Bedosky

Article Type: Research Article | Publication Updated: 2024/05/23

The increasing global prevalence of overweight and obese adults underscored the importance of evidence-based practices within primary care clinics to confront this enduring health issue. One such approach, the 5As model (Ask, Assess, Advise, Agree, Assist), was widely adopted in primary care settings, providing healthcare providers with a systematic approach to facilitate behavioral changes conducive to healthier weight management behaviors and lifestyles....

 Open Access DOI:10.23937/2474-3658/1510321

Unveiling the Masquerade: Pulmonary Mycosis Mimicking Pulmonary Malignancy- A Case Series

Haris Zia, MD, Matthew D. McCoy APP>, Andre Ene, MD, Walid Hadid, MD, Jamie Sturgill, PhD and Ashish P. Maskey, MD

Article Type: Case Series | Publication Updated: 2024/05/25

Fungal pneumonia or pulmonary mycosis is a fungal infection of the lungs [1]. It can be caused by an endemic pathogen in immunocompetent hosts or an opportunistic agent in immunocompromised patients or a combination of both. Among the myriads of pathogens implicated in pulmonary mycosis, Aspergillus spp. Candida spp. Coccidioides spp. and Pneumocystis jiroveci are more prevalent [2]. Pulmonary mycoses present a significant clinical challenge due to the...