Open Access DOI:10.23937/2469-5793/1510095

Miraculous Properties of Camel Milk and Perspective of Modern Science

Yaseen Galali and Hanee M Al-Dmoor

Article Type: Review Article | First Published: January 07, 2019

Camel has been mentioned in Quran in different places and described a miracle of almighty God. Also, prophet Muhammad (PBUH) has recommend camel in his speech (hadith). The prophet (PBUH) has recommended camel milk for some diseases such as skin disease as remedy. Camel plays in important livestock which produced milk longer than any other ruminant under harsh condition of desert ecosystem. Camel milk is different from other ruminant milk different ways. Camel milk is rich in vitamin C and prote...

 Open Access DOI:10.23937/iaphcm-2017/1710017

Opioid Dependence and Methicillin-Resistant Staphylococcus aureus (MRSA) Colonization or Infection in Hospitalized Patients in Florida: A Retrospective Study

Carmen Smotherman, Lori Bilello, Katryne Lukens-Bull, Julie Merten and Saran Wells

Article Type: Original Research | First Published: January 07, 2019

Prescriptions for opioid medications has increased during the past two decades. In 2016, there were 17,087 deaths involving prescription opioids, or approximately 46 deaths per day. This is a significant increase from 15,281 in 2015 (p < 0.05). The use of injectable opioids are often associated with skin infections, such as Methicillin-resistant Staphylococcus aureus (MRSA). The purpose of this study is to examine the association between opioid dependence and MRSA colonization or infection in ho...

 Open Access DOI:10.23937/2474-3674/1510065

Predictors of Adverse Outcome Early After ICU Discharge

Katsiari M, Ntorlis K, Mathas C and Nikolaou C

Article Type: Original Article | First Published: January 07, 2018

Clinicians are often confronted with the timely discharge decision, in order to avoid readmission and escalation of costs. Aim of the present study was to determine potential risk factors for ICU readmission or death early after ICU discharge. The Intensive Care Unit (ICU) is the designated department in the hospital for the care of the most unstable and sickest patients. Depending on ICU availability, it is possible these intubated and critically ill patients are being hospitalized in other are...

 Open Access DOI:10.23937/2474-3674/1510064

Extreme Hypernatraemia and Sepsis in a Patient with Huntington's Dementia: A Conundrum in Fluid Management

Harish Venkatesh, Sanjeev Ramachandran, Atanu Basu and Hari Nair

Article Type: Case Report | First Published: January 05, 2019

We report a unique case of extreme hypernatraemia of 196 mmol/L and severe sepsis in a young 39-year-old adult with Huntington's dementia, which presented a challenge in fluid management. The hypernatraemia was thought to be caused by chronic severe dehydration from poor intake and the sepsis was thought to have started as an inadequately treated urinary tract infection. The patient was initially treated aggressively with hypotonic saline and intravenous antibiotics but was subsequently managed ...

 Open Access DOI:10.23937/2474-3658/1510064

Uncomplicated Malaria and Intestinal Helminth Co-Infections among Schoolchildren in Abobo District, Abidjan (Cote d'Ivoire)

Kpongbo Etienne Angora, Vincent Djohan, Abibatou Konate, Pulcherie Christiane Kiki-Barro, Akoua Valerie Bedia-Tanoh, Kondo Fulgence Kassi, Abo Henriette Vanga-Bosson, Sebastien Miezan, Eby Herve Menan and William Yavo

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

Malaria and soil-transmitted helminth infections are morbidity causes in most tropical areas in the world. In Côte d'Ivoire, their association greats a major public health problem and their coexistence is the subject of very few studies. The current study investigated uncomplicated malaria and intestinal helminths co-infection among schoolchildren in Abobo District, Abidjan. This cross-sectional study was conducted with 256 children aged 2 to 15 recruited at the Anonkoua - Kouté Urban and Comm...

 Open Access DOI:10.23937/2474-3674/1510063

An Exploratory Study of Overnight Education in the Medical Intensive Care Unit

Camille R Petri, Brittany L Ranchoff, Amy P Cohen, Amy M Sullivan, Richard M Schwartzstein and Margaret M Hayes

Article Type: Brief Report | First Published: January 04, 2019

Many hospitals in the United States employ overnight intensivist coverage for their medical intensive care units, but little is known about the effect of this staffing model on trainee education, and the learning that occurs overnight. This study examined the educational interactions occurring between residents and overnight intensivists in the context of the overnight multidisciplinary learning environment....

 Open Access DOI:10.23937/2378-3656/1410253

Juvenile Huntington' Disease: A Case of Paternal Transmission with an Uncommon CAG Expansion

Luciana de Andrade Agostinho, Luiz Felipe Vasconcellos, Victor Calil da Silveira, Thays Apolinario, Michele da Silva Gonçalves, Mariana Spitz and Carmen Lucia Antao Paiva

Article Type: Brief Report | First Published: January 04, 2019

We report a patient with paternally inherited JHD caused by a large (74 CAG) expansion. The patient was prescribed olanzapine 2.5 mg q.d., oxcarbazepine 300 mg bid and underwent botulinum toxin treatment, with partial improvement of aggressiveness and chorea and partial resolution of torticollis. The MRI revealed bilateral caudate and putamen atrophy. JHD is rarer than adulthood HD, with an average prevalence rate of 5%. UHDRS has limited efficacy in evaluating JHD patients independence and func...

 Open Access DOI:10.23937/2378-3656/1410252

Effects of Hematocrit on Cardiac Parameters for Shock Patients

Rabindra Nath Das and Youngjo Lee

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

The hematocrit known as erythrocyte volume fraction (EVF) or packed cell volume (PCV), is the volume percentage of red blood cells in blood. The present report examines the association between hematocrit (HCT) and anyone of seven cardiac parameters such as shock type (SHOCKT), heart rate (HR), mean arterial pressure (MAP), cardiac index (CI), systolic blood pressure (SBP), mean central venous pressure (MCVP), diastolic blood pressure (DBP) for shock patients. It is reported herein that that mean...

 Open Access DOI:10.23937/2378-3656/1410251

A Case Report of an Intestinal Helminth Infection of Human Hymenolepiasis in Rural Gambia

Usman N Ikumapayi, Chilel Sanyang and Dora IA Pereira

Article Type: Case Report | First Published: January 04, 2019

Hymenolepis nana, also called dwarf tapeworm infection, is an intestinal helminth not previously reported in The Gambia and only very rarely reported in West Africa. We report a case of H. nana infection in a 29-month old child living in a rural community of the north bank of the Upper River Region (URR) in The Gambia. The child presented with mild iron deficiency anaemia and granulocytosis but was otherwise mostly asymptomatic despite the moderate-intensity of infection....

 Open Access DOI:10.23937/2572-4193.1510052

The Ex Utero Intrapartum Treatment (EXIT) Procedure in Huge Congenital Cervical Lymphatic Malformation

Muhd Faiz Bin Zulkifli Nor Rahimah Binti Aini and Siti Sabzah Mohd Hashim

Article Type: Case Report | First Published: January 03, 2019

Congenital giant cervical lymphatic malformation are rare tumors. Recent advances in prenatal diagnosis and delivery by ex utero intrapartum treatment (EXIT) have improved prenatal outcome. An otherwise healthy 35-year-old woman, gravida 5, para 4, was referred to our institution at 25 weeks' gestation with a diagnosis large neck mass in the fetus. Prenatal ultrasound and magnetic resonance imaging (MRI) findings suggested airway obstruction in the fetus. The EXIT procedure attempt to deliver th...