Open Access DOI:10.23937/2469-5823/1510103

Risk Factors for Postoperative Delirium after Cardiac Surgery

Yutaka Matsuura, Mitsuki Kamidaira and Akiko Tamura

Article Type: Original Article | First Published: October 25, 2018

Postoperative delirium affects prognosis and the probability of survival. It is important for medical professionals to predict and prevent delirium, as well as implement appropriate interventions, early in the course of care. This study sought to reveal the risk factors for postoperative delirium based on general characteristics such as circulatory dynamics in patients admitted to the ICU after cardiac surgery. Patients who underwent cardiac surgery were included in this study (n = 149). Trained...

 Open Access DOI:10.23937/2378-3516/1410093

Leukopenia Induced by Anti-Tuberculosis Treatment

Belloumi N, Ben Bdira B, Bachouche I, Kacem M, Chermiti Ben Abdallah F and Fenniche S

Article Type: Case Report | First Published: October 25, 2018

Poor compliance to anti-tuberculosis treatment is sometimes related to its adverse effects. By reporting any unusual or severe treatment related accident, we try to enlarge our background in order to manage better any similar case. By writing this paper, up further evidence is provided for a better knowledge and management of ATT adverse events. Here we report a case of leukopenia induced by an anti-tuberculosis oral treatment. Our 43-years-old patient was diagnosed with pleural tuberculosis. B...

 Open Access DOI:10.23937/2377-9004/1410133

Endometrial and Colorectal Synchronous Cancer: A Case Report

Jose Antonio Perez Alvarez, Beatriz Contreras Gonzalez, Alfonso Angel Quesada Lopez-Fe, Dacil Judit Preckler Pena and Cristina Luisa Sanchez-Pinto Hernandez

Article Type: Case Report | First Published: October 25, 2018

Synchronous detection of different types of cancer at the pelvic level is a rare finding. Due to its low incidence, the actual knowledge of this disease is difficult since it is based on articles published on small series of cases. We present the clinical, surgical, and anatomopathological findings of a patient with a synchronous endometrial cancer with a colorectal cancer. Synchronous detection of different types of pelvic cancer in women is a rare finding in gynecologic oncology. Synchronous p...

 Open Access DOI:10.23937/2377-9004/1410132

Cesarean Section in a Parturient with Pseudocholinesterase Deficiency Suspected by Preoperative Interview and Immune Thrombocytopenic Purpura

A Jlali, W Ben Moussa, M Gara, O Ammar, M Mehdi and L Grati

Article Type: Case Report | First Published: October 24, 2018

The preoperative evaluation of a patient for anesthesia is the cornerstone for perioperative management plans. The following case report details the importance of medical interview in a parturient with suspected pseudocholinesterase deficiency and documented immune thrombocytopenic purpura, and shows that anesthetic complications can be avoided by a rigorous preoperative anamnesis. Pseudocholinesterase (PChE) deficiency is an inherited or acquired condition in which the metabolism of succinylcho...

 Open Access DOI:10.23937/2469-5718/1510107

Within-Day Energy Balance in Mexican Female Soccer (Football) Players - An Exploratory Investigation

Francisco Arroyo, Dan Benardot and Elizabeth Hernandez

Article Type: Research Article | First Published: October 24, 2018

To assure optimal performance and reduced risk of illness and injury, athletes require a food and fluid intake that optimally satisfies normal physiological requirements plus the additional demands of physical activity. Both macronutrient (i.e., carbohydrate, fat, and protein) and micronutrient (i.e., vitamins and minerals) intakes are essential for maintaining health, optimal body composition, and the desired athletic performance ....

 Open Access DOI:10.23937/2469-5769/1510041

Hemophagocytic Lymphohistiocytosis Secondary to H1N1 Pneumonia: A Case Report

Manoj D, Vinayaka HS and Basavaraj GV

Article Type: Case Report | First Published: October 24, 2018

Hemophagocytic Lymphohistiocytosis (HLH) describes a clinical syndrome of hyperinflammation resulting in uncontrolled and ineffective immune response. It may be primary or secondary HLH. Primary HLH is better defined as "genetic" encompassing both the familial hemophagocytic lymphohistiocytosis (FHL) and also HLH occurring in association with Chediak-Higashi syndrome, Griscelli syndrome type 2 and X-linked lymphoproliferative disorder. FHL is inherited as an autosomal recessive manner. The incid...

 Open Access DOI:10.23937/2377-4630/1410075

Outcome of Self- and Planned Extubation in Organophosphate-Poisoned Patients

Abbas Aghabiklooei, Omid Mehrpour, Hossein Hassanian-Moghaddam, Shahin Shadnia and Nasim Zamani

Article Type: Original Article | First Published: October 24, 2018

Respiratory failure is the most common cause of morbidity and mortality in organophosphate (OP)-intoxicated patients. We aimed to assess and compare the need for re-intubation and outcome between patients with self-extubation (SE) and planned extubation (PE). All OP-poisoned endotracheally intubated patients admitted to poisoning ICU were included. The frequency and time of SE, need for re-intubation, and its impact on hospital stay and outcome were assessed....

 Open Access DOI:10.23937/2378-3397/1410087

Role of Clinical Decision and Management of Patients Admitted with Perforated Peptic Ulcer to Damascus Hospital (Al Moujtahed), Damascus, Syria

Muhammad Assem Kubtan, Alaa Mousa Alsharif and Mhd Nezar Al Sharif

Article Type: Research Article | First Published: October 24, 2018

As far as we know, there has been no previous published studies concerning the incidence of perforated peptic ulcer (stomach, duodenum) and its related risk factors in Syria, and their managements in association with the current Syrian conflict, that precipitated limited access to admitting such cases to over populated beds. This study addressing the burden shouldered by Health professionals, and aimed to determine the Prevalence of perforated peptic ulcer (PPU) in patients admitted to Damascus ...

 Open Access DOI:10.23937/2378-2951/1410126

Takotsubo Stress Syndrome and Intracoronary Thromboembolic Occlusion: Fact or Myth?

Stefan Peters

Article Type: Case Report | First Published: October 24, 2018

A few case reports found an association between left ventricular apical ballooning and transient thromboembolic occlusion in myocardial bridging of the mid-portion left anterior descending coronary artery. In two additional, so far unpublished case reports distal or mid-portion thromboembolic occlusion of the left anterior descending coronary artery and the first diagonal branch were described. Both cases had a tragic outcome-either due to myocardial perforation or disseminated intravascular coa...

 Open Access DOI:10.23937/2469-5734/1510065

Novel Multi-Functional Dental Cement for Enamel Remineralization and Anti-Cariogenic Bacteria Activity

Yukari Shinonaga, Kenji Arita, Rie Imataki, Michiko Takemura, Chikoto Nagaishi, Keiichi Kagami, Takako Nishimura, Yoko Abe, Sho Aoki, Masae Okuno and Kyoko Harada

Article Type: Research Article | First Published: October 24, 2018

This experimental study evaluated the release of fluoride and several minerals related to remineralization from a novel functional cement, apatite ionomer cement (AIC), and its anti-bacterial properties compared with glass ionomer cement (GIC) and surface pre-reacted glass-ionomer filler containing composite resin (giomer). Conventional GIC (Fuji III, GC Co., Tokyo, Japan) was used as the control and fundamental materials. In the AIC powder, 28% wt of GIC powder was replaced with spherical-shape...