Open Access DOI:10.23937/2469-5823/1510102

Set Up of Longitudinal Care Paradigm in Contemporary Family Medicine and Community Nursing

Manuel Ortega-Calvo and Manuel Angel Calvo-Calvo

Article Type: Original Article | First Published: October 15, 2018

The paradigm constitutes the development of what is called "normal science". On the other hand, one of the essential characteristics of medical and nursing practices in primary health care (PHC) is the longitudinal heed of human beings. William Rathbone VI was a merchant and businessman noted for his philanthropic work. In 1859 his appreciation for the services of a nurse, Mary Robinson, engaged to care for his dying wife, prompted him to campaign for a system of district nursing to enable the p...

 Open Access DOI:10.23937/2469-5823/1510101

Hierarchical Linear Modeling Application in Analyzing Occupational Injuries Related Factors for Nurses in Taiwan

Min-Hui Li, Yu-Lung Wu, Fu-I Hou and Wan-Yun Huang

Article Type: Original Article | First Published: October 15, 2018

Nurses are prone to occupational injuries due to the nature of their roles in the medical care environment. To narrow the gap in literature, this research analyzes the relevant individual- and hospital-level factors of occupational injuries suffered by nursing personnel in Taiwan by targeting those with occupational injury records in the 2013 National Health Insurance Research Database. A two-level research model consisting of the individual demographic data, hospital category and types, and ind...

 Open Access DOI:10.23937/iamm-2017/1710007

Physicochemical and Biopharmaceutical Characterization of N-Iodomethyl-N,N-Dimethyl-N-(6,6-1 Diphenylhex-5-En-1-Yl) Ammonium Iodide and A Promising Antileishmania Delivery System

Maritza Fernandez, Luz Amalia Rios-Vasquez, Rogelio Ocampo-Cardona, Oscar Florez, David L Cedeno, Teresa M Garrigues, Antonio J Almeida, Ivan D Velez and Sara M Robledo

Article Type: Research Article | First Published: October 13, 2018

Cutaneous leishmaniasis (CL) is an infectious disease endemic in tropical and subtropical countries. The current drugs have severe drawbacks that restrict their use and enhance the need for better drugs. Recently, the N-iodomethyl-N,N-dimethyl-N-(6,6-diphenylhex-5-en-1-yl) ammonium iodide (C6I) was identified as a promising compound for the topical treatment of CL. The need for oral drugs with potential use to treat cutaneous, mucosal and visceral leishmaniasis, in the present work were determin...

 Open Access DOI:10.23937/2474-3674/1510051

Utility of an Emergency Department Chest Pain Protocol in Ruling Out Acute Coronary Syndrome

Shieh Mei Lai, Poongkulali Anaikatti, Pravin Thiruchelvam, Siang Chew Chai, Thon Hon Yong, Yew Seong Goh, Sheldon Lee, Rahul Goswami, Charlene Jin Yee Liew and Pak Liang Goh

Article Type: Original Article | First Published: October 12, 2018

To assess the safety and efficacy of an Emergency Department Chest Pain Protocol in ruling out Acute Coronary Syndrome in a regional hospital in Singapore. An audit was carried out of the cases admitted to our Short Stay Unit (SSU) under the Chest Pain Protocol from June to November 2014. Patients presenting with chest pain and possible acute coronary syndrome, but with normal initial electrocardiogram (ECG) and troponin level, could undergo this rule-out protocol, which comprised serial ECGs an...

 Open Access DOI:10.23937/2474-3674/1510050

Acidosis and ketonuria in an 8-Year-Old Male

Caitlin Gilman and Tanya Chadha

Article Type: Case Report | First Published: October 12, 2018

The patient is an 8-year-old Caucasian male with no significant past medical history referred to the emergency department by his pediatrician for possible appendicitis. The day prior to presentation, his mother noted decreased energy and appetite. He went to sleep soon after arriving home from school and woke up twice overnight with non-bloody, non-bilious emesis. He began complaining of right-sided back and abdominal pain in the morning and was brought to his pediatrician, where he was immediat...

 Open Access DOI:10.23937/2474-3674/1510049

The Role of Probiotics in Critically Ill Adult Patients with Pneumonia

Julie Kalabalik and Ayse Elif Ozdener

Article Type: Review Article | First Published: October 12, 2018

There is increased interest in the role of the gastrointestinal (GI) or gut microbiome and its role in prevention and treatment of disease. The gut microbiome alone consists of approximately 400 strains of bacteria, fungi, and parasites. Anaerobes are the predominant type of microorganism in the GI tract with Firmicutes and Bacteroidetes being the dominant phyla. The gut microbiome is involved in metabolism, host protection, and immune function. It plays an important role in metabolism of nondig...

 Open Access DOI:10.23937/2474-3674/1510048

Things to Keep in Mind in High Flow Therapy: As Usual the Devil is in the Detail

Salvador Diaz-Lobato, Jose Manuel Carratala Perales, Jose miguel Alonso Inigo, Sagrario Mayoralas Alises, Barbara Segovia, Noelia Escalier, Maria Ines Mattioli, Ana Jaureguizar and Diurbis Velasco

Article Type: Original Article | First Published: October 12, 2018

High-flow nasal cannula oxygen therapy (HFNC) has revolutionized the treatment of patients with respiratory failure in different settings. Several mechanisms of action explain us why HFNC has become a first line therapy for these patients. Some authors have referred to the adverse effects that can occur when we use HFNC and its limitations. However, there are numerous aspects that we should consider when prescribing this treatment and that are not documented in the literature to date. In a Task ...

 Open Access DOI:10.23937/2474-3674/1510047

Caring Critically Ill Patients in the General Wards in Tanzania: Experience of Nurses and Physicians

Lilian T Mselle and Halima Msengi

Article Type: Research Article | First Published: October 12, 2018

Studies in Tanzania have reported that many hospitals in the country have no intensive care unit (ICU) where critically ill patients could be managed thus critically ill patients are cared for with other non-critical patients. The aim of this study is to describe nurses and physicians' experience of caring critically ill patients in the general wards at the Regional hospital. A descriptive qualitative design was used. Purposeful sampling method was used to enroll 10 nurses and 5 physicians worki...

 Open Access DOI:10.23937/ijcb-2017/1710002

Smartphone Addiction, Sleep Quality and Mechanism

Mehrnaz Moattari, Farahnaz Moattari2, Gholamreza Kaka, Homa Mohseni Kouchesfahani, Seyed Homayoon Sadraie and Majid Naghdi

Article Type: Research Article | First Published: October 12, 2018

Addiction refers to "loss of control" and "despite adverse consequences". Substance-free addiction (or behavioral addiction) covers pathological gambling, food addiction, internet addiction, and mobile phone addiction. Nowadays, much has been said about new Medias and technologies addiction that connect us and make us lonely at the same time, consequently, leads to adverse mental health disadvantageous. Smartphones are increased rapidly as an indispensable member of our everyday life for most pe...

 Open Access DOI:10.23937/2469-5696/1410033

The Results of the Single Center Pilot Randomized Russian Clinical Trial of Mesenchymal Stromal Cells in Severe Neutropenic Patients with Septic Shock (RUMCESS)

Gennadiy Galstyan, Polina Makarova, Elena Parovichnikova, Larisa Kuzmina, Vera Troitskaya, Eduard Gemdzhian and Valeriy Savchenko

Article Type: Original Article | First Published: October 12, 2018

To investigate the safety of the of bone marrow-derived human multipotent mesenchymal stromal cells (MMSCs) administration in neutropenic patients with septic shock. Mesenchymal stromal cells (MMSCs) may represent a promising cell-based therapy of sepsis. MMSCs, activated by lipopolysaccharide or tumor necrosis factor-α, reprogram macrophages by releasing prostaglandin E2. Prostaglandin E2 acts on the macrophages through the EP2 and EP4 receptors and stimulates the production and release of an ...