Open Access DOI:10.23937/2377-3634/1410101

The Level of Satisfaction of Diabetic Patients with Healthcare Personnel Attending Outpatient Health Clinics in Jamaica

Paula Barrett-Brown, Donovan McGrowder and Dalip Ragoobirsingh

Article Type: Research Article | First Published: February 23, 2019

The burden of diabetes mellitus is increasing in low-income and middle-income countries, and it is a major contributor to premature mortality. The care of patients with diabetes mellitus is multidisciplinary and involves a number of healthcare personnel. Effective communication between diabetic patients and healthcare personnel influence self-management and health outcomes. The study evaluated the diabetic patient's assessment of the communication skills of the healthcare providers, as well as a...

 Open Access DOI:10.23937/2474-1353/1510089

Development of In Vitro Fertilization, a Very Important Part of Human Reproductive Medicine, in the Last 40 Years

Marte Myhre Reigstad and Ritsa Storeng

Article Type: Mini Review | First Published: February 22, 2019

It is estimated that, worldwide, over 8 million babies are born following infertility treatment with in vitro fertilization (IVF) since the birth of world's first IVF baby 40 years ago. Recent estimates suggest that by year 2100, 400 million individuals or 3% of the world population may be alive as a result of IVF and other fertility treatments. The developments within infertility treatment using techniques and procedures that evolved from initially animal and lately human research are enormous....

 Open Access DOI:10.23937/rmi-2017/1710009

Use of Extracorporeal Life Support in Postpartum in a Patient with Amniotic Fluid Embolism Complicated by Left Ventricular Failure and Disseminated Intravascular Coagulopathy

Tong Carmen, Chin Hsuan, Lim Yvonne, Gerard Leong and Lim Yeong Phang

Article Type: Case Report | First Published: February 23, 2019

Amniotic fluid embolism is a rare but catastrophic complication of pregnancy. We describe our institutional experience with extracorporeal membrane oxygenation (ECMO) use in a pregnant women who presented with amniotic fluid embolism and was complicated by disseminated intravascular coagulopathy and postpartum haemorrhage (PPH) who subsequently developed left ventricular failure requiring ECMO therapy. In this report we describe the effective value of extracorporeal membrane oxygenation in the s...

 Open Access DOI:10.23937/2469-5696/1410036

Diffuse Large B-Cell Lymphoma during Complete Remission of Acute Myeloid Leukemia (M4Eo) Exhibiting Immunoglobulin Heavy Chain Gene Rearrangement and Inv(16)

Kodai Kuriyama, Hiroki Hosoi, Masaya Shimanuku, Toshiki Mushino, Shogo Murata, Akinori Nishikawa, Shinobu Tamura, Nobuyoshi Hanaoka and Takashi Sonoki

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

In previous studies, it has been reported that 10-20% of acute myeloid leukemia (AML) cases showed immunoglobulin heavy chain gene (IGH) rearrangements, a genetic hallmark of B-cell differentiation. However, the clinical significance of this is uncertain. Here, we report a case of diffuse large B-cell lymphoma (DLBCL) after complete remission (CR) from AML that exhibited an IGH rearrangement. The patient was diagnosed with AML (M4Eo) with inversion of chromosome 16 [inv(16)]. Interestingly, the ...

 Open Access DOI:10.23937/2377-3634/1410100

A Medical Case Masquerading as Surgical Pathology in an Individual Living with Diabetes

Ravikumar Ravindran and Kofi Obuobie

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

Diagnosing the cause of abdominal pain in a young type 1 diabetic can be a challenging task and involves a wide array of differential diagnosis. Most commonly the pain is thought to be secondary to diabetic neuropathy. It becomes even more problematic if there is significant weight loss, if extensive investigations have not found any organic pathology and if the pain does not fit into any pattern of diabetic neuropathy. We present such a case where a young 21-years-old female diabetic had lost 1...

 Open Access DOI:10.23937/2469-5696/1410035

Utilizing Extended Red Blood Cell Parameters to Distinguish Iron-Deficient Erythropoiesis - Related Disorders in Malaysian Female Population

Angeli Ambayya, Andrew Octavian Sasmita, Subramanian Yegappan and Jameela Sathar

Article Type: Research Article | First Published: January 20, 2019

The full blood count (FBC) analyzers, Sysmex XE-5000 and Unicel DxH 800, are equipped to perform routine and extended parameters tests; thus, this study considered extended red blood cell (eRBC) parameters to distinguish iron-deficient erythropoiesis related disorders. Malaysian female subjects comprising three main ethnic groups (Malay, Chinese and Indian) were included. Three groups of findings were distinguished based on FBC, morphology, and iron status of the subjects: normal, latent iron de...

 Open Access DOI:10.23937/2474-1353/1510088

Level of Maternal Satisfaction and its Determinants at Health Facilities in Mizan-Aman Town, Ethiopia: Cross Sectional Study

Teklemariam Ergat Yarinbab, Wasihun Adraro Ambo, Tariku Regea and Addisu G/Mariam

Article Type: Research Article | First Published: January 04, 2019

Maternal satisfaction on institutional delivery service is the most frequently reported indicator in the evaluation of the quality of maternity services. While increasing service availability and maintaining acceptable quality standards, it is important to assess maternal satisfaction with care in order to make it more responsive and culturally acceptable, ultimately leading to enhanced utilization and improved outcomes. Maternal satisfaction determines the level of institutional delivery servic...

 Open Access DOI:10.23937/2572-3243.1510063

Prevalence, Perception and Risk Factors for Musculoskeletal Discomfort among Pregnant Women in Southeast Nigeria

Adinma JIB, Adinma ED, Umeononihu OS, Oguaka V, Adinma-Obiajulu ND and Oyedum SO

Article Type: Original Article | First Published: December 31, 2018

A lot of physical and hormonal changes that occur in pregnancy impact the musculoskeletal system leading to a variety of problems, such as back pain, pelvic/pubic pain, transient osteoporosis and tendonitis. The weight gain, hormonal and other biochemical changes that occur during pregnancy increase the strain on the vertebrae and the appendages resulting in increased laxity (and hence mobility) of joints, increased lumbar lordosis, stretching/weakness and separation of the anterior abdominal mu...

 Open Access DOI:10.23937/rmi-2017/1710008

Effectiveness of Homoeopathic Treatment in Female Infertility

Anita Lobo, Prema D'cunha and Blany Lobo

Article Type: Research Article | First Published: December 19, 2018

Infertility is the inability of a couple to achieve conception after one year of unprotected coitus. Today almost one in six couples face difficulty in conceiving (1). The rise in female infertility and the use of alternative systems in sharing the global burden of treating infertility has remarkably increased. Homoeopathy is often effective in curing infertility where conventional medicine either fails or is expensive or requires operative procedures and hormonal therapy with their added compli...

 Open Access DOI:10.23937/2469-5858/1510062

Clinical and Etiological Study of Onychomycosis in Institutionalized Elderly in Goiania City, Goias State, Brazil

Jefferson Teixeira Oliveira, Mateus Silva Santos, Wesley Vieira Naves, Hygor Lima Costa, Andressa Santana Santos, Vivianny Aparecida Queiroz Freitas, Maria do Rosario Rodrigues Silva, Milton Camplesi Junior, Antonio Marcio Teodoro Cordeiro Silva and Fabio Silvestre Ataides

Article Type: Research Article | First Published: February 15, 2019

Onychomycosis is fungal nail infection, which can be associated with some factors, such as decreased nail growth and immunodeficiency, makes the elderly predisposed to onychomycosis. The objective of this study was to investigate the frequency of onychomycosis in elderly institutionalized, and to verify the effects that the infection had in their daily routine. This study was carried in gerontological complexes of Goiânia, Goias, Brazil, with 58 elderly who exhibited clinical suspicion of onych...