Open Access DOI:10.23937/2377-9004/1410256
Post-Partum Amniotic Fluid Embolism with Cardiac Arrest: A Multidisciplinary Success
Camille LAFRANCE, MD and Joalee PAQUETTE, MD, FRCSC
Article Type: Case Report | First Published: 2024/04/13
Amniotic fluid embolism (AFE) is a rare but life-threatening obstetric emergency, often challenging to diagnose due to overlapping clinical presentations. We present a case of AFE-induced cardiovascular collapse and disseminated intravascular coagulopathy (DIC) in a 38-year-old patient G6P4A1V3, emphasizing the critical role of a multidisciplinary approach and the importance of timely recognition in successful management....
Open Access DOI:10.23937/2469-5769/1510126
Prevalence and Factors Associated with Stunting among the Public Primary School at Mahajanga I, Madagascar
Ramanampamonjy MTM, Ranaivo NAR, Rahariniainasoa A, Rabarison HZO and Andrianarimanana KD
Article Type: Research Article | First Published: 2024/03/29
Two hundred and sixty-two pupils were included in the study. The mean age was 8.89 ± 2.07 years. The prevalence of growth retardation was 28.6% (n = 75) of which 5% (n = 13) had the severe form. The age range was 10 to 14 years (AOR = 9.89 [4.9-19.9]; p = 0.0001), once or never deworming (AOR = 2.4 [1.20-5.09]; p = 0.014) and food consumption score acceptable (AOR = 0.32 [0.15-0.71]; p = 0.005) were significantly associated with stunting....
Open Access DOI:10.23937/2378-3672/1410072
Prevalence and Associated Factors of Hemorrhoid and Other Perianal Complications during Puerperium among Mothers in Debre Tabor Referral Hospital, Ethiopia: A Cross-Sectional Study
Anemut Tilahun Mulu, Awgchew Behaile Teklemariyam, Zelalem Tilahun, Nega Dagnew, Alebachew Amsalu, Birhanu Mengist, Mezgebu Legesse, Abebe Muche Belete and Melaku Mekonnen Agidew
Article Type: Review Article | First Published: 2024/03/28
Puerperium is defined as the period of six weeks after child birth during which the mother's reproductive organs return to their original non-pregnant condition. Perianal problems including Constipation, Hemorrhoid and Fissure are among the most common complications among women during puerperium, observed in about 30 to 50 percent of women. Considering this great prevalence and the paucity of similar research in Ethiopia, this study was done to assess the prevalence of perianal problems during p...
Open Access DOI:10.23937/2474-3674/1510160
Therapeutic Plasma Exchange for Acute Pancreatitis Secondary to Hypertriglyceridemia: Case Report and Review of the Literature
Giorgio Berlot, Ariella Tomasini and Michele Contadini
Article Type: Case Report | First Published: 2024/03/30
A patient with acute pancreatitis was admitted to our Intensive Care Unit due to arterial hypotension and hypoxemia that responded to fluid resuscitation and supplemental oxygen; the blood chemistries revealed extremely elevate triglycerides and cholesterol levels. A therapeutic plasma exchange was performed on an emergency basis and determined their sharp decrease. The patient was transferred to a regular ward 6 days later, and a CT-scan obtained after one more week at demonstrated a large pseu...
Open Access DOI:10.23937/2377-4630/1410176
Demographic Profile and Incidence of Residual Neuromuscular Blockade with the Use of Rocuronium and Sugammadex in Oncological Patients in the Post-Anesthetic Recovery Room
Donn-Thell Frewyd Sawntzy Junior, Antônio Roberto Marques Lima, Caroline Olinda de Souza Pitoli, Gaya Amanda Said Barbosa Lima, Mariam Lidemys Marin Montejo, Renata Larissa de Araújo Fernandes, André Renato Moura Barroso, Ivandete Coelho Pereira Pimentel and Mirlane Guimarães de Melo Cardoso
Article Type: Original Article | First Published: 2024/03/25
Neuromuscular blockers are drugs that provide safety for general anesthesia. However, when there is no spontaneous and complete return of normal neuromuscular function in the postoperative period, residual neuromuscular blockade (RNMB) may occur, which has a significant impact on airway physiology, increasing the risks of respiratory complications, including hypoxemia. Sugammadex is an agent that reverses the neuromuscular blockade caused by rocuronium bromide through its selective encapsulation...
Open Access DOI:10.23937/2469-5823/1510197
Association between Sleep Quality and Musculoskeletal Disorders among Emergency Department Nurses
Mariana Vieira Batistão, Henrique Pott-Júnior, Henrique Mianovichi de Araujo and Fábio Fernandes Neves
Article Type: Original Article | First Published: 2024/03/31
The connection between sleep disorders and chronic musculoskeletal pain is bidirectional, as inadequate sleep can amplify muscle tension, whereas chronic pain can reduce sleep quality. Both disorders are highly prevalent in nurses. This article aims to evaluate the correlation between sleep quality and musculoskeletal symptoms in the nursing team of a university hospital. We designed a cross-sectional study that included 40 nursing practitioners who work exclusively in the emergency department. ...
Open Access DOI:10.23937/2378-3656/1410447
Primary Cutaneous CD4-Positive Small/Medium T-Cell Lymphoproliferative Disorder: Report of a Case with Spontaneous Regression after Biopsy
E El bakali, H Ammari, F El guennouni, H Kerrouch, I Anouar, T Hanafi1, J Azhari, M Azzakhmam, Y Zemmez, R Frikh1 and N Hjira
Article Type: Case Report | First Published: 2024/03/28
Primary cutaneous CD4- positive small/medium T-cell lymphoproliferative disorder (PCSM-TCLD) is a low-grade cutaneous T-cell disorder, previously classified as a provisional entity [1] of primary cutaneous CD4+ small/medium pleomorphic T-cell lymphoma until 2016, when the terminology was changed during the revision of the classification of lymphomas by the World Health Organisation and the European Organisation for Research and Treatment of Cancer due to its uncertain malignant potential [1,2]. ...
Open Access DOI:10.23937/2474-3682/1510235
Cerebral Fat Embolism Syndrome
Aayush Kulshrestha, Yudhyavir Singh, Abhishek Singh and Richa Aggarwal
Article Type: Clinical Image | First Published: 2024/04/06
A 33-year-old man admitted to the emergency department after being involved in road traffic accident. On evaluation and radiological imaging, he sustained closed subtrochanteric fracture in the right femur and a bilateral pelvic. Following primary survey and initial resuscitation, the patient was haemodynamically stable, so the patients shifted to a ward for further management. After 24 hours, the patient exhibited changes in mental status, including drowsiness, confusion, and restlessness with ...
Open Access DOI:10.23937/2378-3397/1410163
Necrotizing Fasciitis of the Thigh Secondary to a Complicated Perforated Colon Cancer: A Case Report
Akram Z A Bolbol
Article Type: Case Report | First Published: 2024/03/25
Necrotizing fasciitis (NF) is a rare life-threatening soft tissue infection. The development of NF of the lower extremity secondary to a perforated colorectal tumor has been reported only in a few cases. Early diagnosis and aggressive surgical intervention are crucial in NF management. Awareness of the development of NF secondary to perforated colon cancer is essential to prompt diagnosis and to prevent delays in proper management....
Open Access DOI:10.23937/2572-3235.1510122
Rhabdoid Tumor of the Kidney in Children: A Case Report
Noor Al Shekaili, Afrah Al Abri, Mohamed Abdel Rahamn and Khalid Al Nasibi
Article Type: Case Report | First Published: 2024/03/24
A 2-years-old child previously healthy, presented with one-month history of on-off fever of unknown origin, clinically, child was irritable, found to have mild congestion in the right ear, enlarge left tonsil, and enlarge left cervical lymph nodes & hepatosplenomegaly. First investigations showed C-reactive protein more than 100 mg/l, child received full course of oral Augmentin. Fever settled down for three days, then restarted again with continuous in nature and high grade. Re-investigation sh...