Open Access DOI:10.23937/2378-2951/1410141

Ventricular Fibrillation in Arrhythmogenic Cardiomyopathy: Four Strategies to Effective Risk Management

Stefan Peters

Article Type: Case Report | First Published: March 25, 2019

The case of a 52-year-old female patient is reported who suffered aborted sudden cardiac arrest, got layman’s resuscitation, and then defibrillation into normal sinus rhythm with temporary right precordial ST segment elevation. The patient was admitted to hospital, the diagnosis of early-stage arrhythmogenic cardiomyopathy by ECG, echocardiography and left ventricular, right ventricular and coronary angiography was made. Echocardiography findings revealed dilatation of the right ventricular ou...

 Open Access DOI:10.23937/2469-5831/1510020

An Approximation of a Longitudinal Stochastic Model

Khalid A Salah

Article Type: Research Article | First Published: March 25, 2019

We propose to approximate a model for repeated measures that incorporated random effects, correlated stochastic process and measurements error. The stochastic process used in this paper is the Integrated Ornstein-Uhlenbeck (IOU) process. We consider a Bayesian approach which is motivated by the complexity of the model, thus, we propose to approximate the IOU stochastic process into a continuous spatial model that constructed by convolving a very simple and independent, process with a kernel func...

 Open Access DOI:10.23937/2469-5823/1510119

Managing Uncertainty in Nursing - Newly Graduated Nurses' Experiences of Introduction to the Nursing Profession

Elina Ingvarsson, BSc, RN, Josefin Verho, BSc, RN, and Kristina Rosengren, PhD, RN

Article Type: ORIGINAL ARTICLE | First Published: March 25, 2019

The introduction to nursing, which is the conversion of theoretical knowledge into practice skills in complex healthcare settings, is emphasized as difficult due to patient safety. Therefore, the aim of this study was to describe newly graduated nurses' experiences of introduction to nursing in a medical department (medical, emergency) at a university hospital in western Sweden. A manifest qualitative content analysis with an inductive approach was used based on five semistructured interviews wi...

 Open Access DOI:10.23937/2378-346X/1410105

Following of a Patient Suffering of Drusen after Continuous Treatment by Alimentary Complementation during Period 2012-2015

Pascal CHASSOT

Article Type: Clinical Image | First Published: March 25, 2019

A 58-year-old man has been examined for the first time on 2012.09.28. Discovery of numerous drusen on the ocular fundus. Confirmation is made by O.C.T (Figure1 and Figure 2). A prescription of alimentary complement is seriously advised to the patient. The patient is at new consulted on 2013.09.26 after taking each day one tablet of alimentary complement. The control with O.C.T. shows an important regression of the drusen (Figures 3 and Figure 4). The prescription of alimentary complements has be...

 Open Access DOI:10.23937/2469-5777/1510070

Successful Outcome of Severe Fibrous Dysplasia of the Tibia in a Patient with Mccune-Albright Syndrome, Treated Using a Combined Ortho-Plastic Multidisciplinary Approach

Samena Chaudhry, Saqib Noor, Rob Warner and Paul Fenton

Article Type: Case Report | First Published: March 25, 2019

McCune-Albright syndrome is a genetic disease, defined by a clinical triad of polyostotic fibrous dysplasia of bone, café-au-lait skin spots, and precocious puberty. The case of a young man with McCune-Albright syndrome and fibrous dysplasia resulting in a severe tibial deformity is presented. Due to previous surgeries as a child, and subsequent complications with ongoing infection and soft tissue breakdown, the patient was keen to seek any reconstructive option with a chance of limb salvage......

 Open Access DOI:10.23937/2572-4061.1510020

Repeated Intravenous Dose Toxicity of Di-Isononyl Phthalate in Male Sprague-Dawley Rats

Yanping Xue, Ning Chen, Tao Jiang

Article Type: Research Article | First Published: March 22, 2019

The systemic toxic effects of di-isononyl phthalate (DINP) were evaluated in a 4-wk study in male Sprague-Dawley rats. The animals were administered DINP intravenously at dosages of 125, 250, and 500 mg/kg every other day for 4 wk. The control and the positive control group were administered vehicle (egg yolk phosphatides plus glycerol solutions) and 500 mg/kg di(2-ethylhexyl) phthalate (DEHP), respectively. Clinical signs were observed immediately after administration and consumption of food, a...

 Open Access DOI:10.23937/ijfa-2017/1710027

Extracorporeal Shock Wave Therapy (ESWT) for Refractory Fractures at the Fifth Metatarsal Base

Kenta Tanaka, Akihiro Kanamori, Masaya Kajiwara, Tomofumi Nishino, Yusuke Nishida, and Masashi Yamazaki

Article Type: ORIGINAL ARTICLE | First Published: March 22, 2019

A fifth metatarsal base fracture is common in athletes and is often difficult to treat. Refractory cases are often managed surgically with screw fixation or bone grafts, but such procedures are extremely invasive. Recently, positive results have been reported from the use of extracorporeal shock wave therapy (ESWT) for stress fractures or delayed fracture union. We report on our experience with ESWT used in five cases of refractory fifth metatarsal base fracture where bone union had not been ach...

 Open Access DOI:10.23937/2377-3634/1410104

Comorbidity among Patients with Kidney Diseases in Hail Region, Saudi Arabia

Mukhtar Ansari, Majed Al-Adeem and Mohammed Alshakka

Article Type: Research Article | First Published: March 22, 2019

Kidney diseases are emerging non-communicable ailments in Saudi Arabia and rest of the world. Among top ten diseases in 2017 in Saudi Arabia, chronic kidney disease was the 4th common cause of most of the deaths in the kingdom. Hence, the study aimed at determining the major concomitant chronic disorders and their association with kidney diseases in Hail region. This cross-sectional, retrospective study was carried out in King Khalid Hospital, and King Abdullah International Foundation for Haemo...

 Open Access DOI:10.23937/IJDA-2017/1710010

A Way of Bridging the Gap between Psychological Treatments and Antidepressant Medication

Alejandro Arnaldo Barroso Martinez, PhD

Article Type: LETTER TO EDITOR | First Published: March 22, 2019

Depression is characterized by persistent sadness, accompanied by an inability to carryout daily activities, feelings of worth lessness, guilt, or hopelessness, and thoughts of self-harm. Globally, more than 300 million people of all ages suffer from depression. Especially when long-lasting or severe intensity, depression may be come a serious health condition. At its worst, depression can lead to suicide. Depression is treatable with psychotherapy, also known as talk therapy, antidepressant med...

 Open Access DOI:10.23937/2469-567X/1510051

Silent Transmission of HTLV-2 in an Endemic Area of Northeastern Brazil: Report of 10 Cases and Review Literature

Graca Maria de Castro Viana, Helaine Dias Guimaraes, Saphyra Medeiros Salem, Augusto Viana Arouche Santos and Jamilly Gonçalves Zani

Article Type: Case Report | First Published: March 21, 2019

HTLV 2 is endemic among Amerindians and has been reported in intravenous drug abusers in the USA, Europe, and Asia. The most important indigenous communities in Brazil are distributed in the states of Amapá, Pará, Amazonas, Roraima, Rondônia and Maranhão. This study aims to determine the prevalence of HTLV-2 in the state of Maranhão. Ten patients attended at a referral hospital who presented confirmatory Western blot serology for HTLV-2 were analyzed. All seropositives were asymptomatic and...