Open Access DOI:10.23937/2469-5718/1510102

High Level Cycling Performance 10 Years after Cardiac Transplantation

Grazzi Giovanni, Totti Valentina, Myers Jonathan, Mosconi Giovanni, Gambaretto Camilla, Sambri Vittorio, Trerotola Manuela, Nanni Costa Alessandro and Sella Gianluigi

Article Type: Case Report | First Published: August 23, 2018

Cardiac Transplantation (CTX) is a treatment option for selected individuals with end-stage heart failure. However, long-term outcomes are limited by the development of cardiovascular complications, and coronary allograft artery disease is the main cause of death in Heart Transplant Recipients (HTR) five years after intervention. Training programs among HTR are recommended in the early post-operative period as well as in the long term....

 Open Access DOI:10.23937/2474-1353/1510075

Guidelines for Management of Analgesics after Caesarean Section: Cognitive Survey

Eleonora Storti, Silvia Vaccari, Raffaele Bruno, Alba Ricchi, Jessica Buffagni and Isabella Neri

Article Type: Clinical Trial | First Published: August 18, 2018

The term puerperium is used to indicate a time span that varies from six to eight weeks after childbirth, necessary for the woman's body to return to the conditions it was in before the pregnancy. Independently of its actual duration, the puerperium is a very delicate phase of the woman's life, with possible physical and psychological implications. What characterises this period is also the experience of pain. It is therefore important that all health workers who follow the woman at this particu...

 Open Access DOI:10.23937/2474-1353/1510074

Determinants of Risky Sexual Behaviors among Students of Mizan Aman College of Health Science, Southwest Ethiopia: Cross- Sectional Study

Teklemariam Ergat Yarinbab, Nega Yimer Tawi, Israel Darkiab, Fikadu Debele and Wasihun Adraro Ambo

Article Type: Research Article | First Published: August 18, 2018

Risky sexual behavior is a behavior related to sexuality which increases the susceptibility of an individual to reproductive health problems like Sexually Transmitted Diseases (STIs), unwanted pregnancy, abortion and psychological distress. Young people's are at higher risk of practicing risky sexual behaviors due to their risk taking behavior. The rate of risky sexual behaviors is increasing in developing countries. Therefore, the aim of this study was to the determinants of risky sexual behavi...

 Open Access DOI:10.23937/2572-3308.1510034

Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis Syndrome

Katharine J Foster, Jonathan Rodrigues, Julia Lee, Sara Powell, Roua Azmeh and Alan P Knutsen

Article Type: Research Article | First Published: August 18, 2018

Periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis syndrome (PFAPA) is characterized by periodic cyclical fever, cervical adenopathy, pharyngitis, and aphthous stomatitis. Administration of oral corticosteroids at the onset of fever is the current initial treatment. Tonsillectomy resolves PFAPA symptoms in 50-100% of patients....

 Open Access DOI:10.23937/2572-3243.1510057

Hip Arthroscopy: A Narrative Review of the Current Literature

JRT Pietrzak, MJ Donaldson, B Kayani, FE Rowan and FS Haddad

Article Type: Review Article | First Published: August 18, 2018

The incidence of hip arthroscopy is increasing worldwide. This is due to improved knowledge of the surgical anatomy, expansion of surgical indications, evolution and refinement of surgical instrumentation and continued reports of good long-term functional results. However hip arthroscopy remains a technically challenging surgical procedure with a described "steep" learning curve....

 Open Access DOI:10.23937/2378-3656/1410232

Laparoscopic TEP Inguinal Hernia Repair - Are We Overdoing It? A Comprehensive Study of 25 Cases of TEP Inguinal Hernia Repair Done Without the Use of Electrocautery and Without Any Mesh Fixation

Kaundinya Kiran Bharatam

Article Type: Research Article | First Published: August 17, 2018

As one of the most effective and accepted minimally invasive techniques for inguinal hernia repair Laparoscopic Totally Extra Peritoneal (TEP) repair is met with a learning curve and caution towards injury of major vessels/nerves and mesh migration. Less experienced surgeon may tend to use excessive cautery and overzealous mesh fixation. Such practices in surgery can be avoided without any changes in immediate or late outcomes of the procedure....

 Open Access DOI:10.23937/2378-3516/1410085

The Effect of Atorvastatin on Right Ventricular Function in Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Hoorak Poorzand, Fariba Rezaeetalab, Masoud Sadeghipour Marvy, Aida Javanbakht, Monavar Afzalaghaei and Majid Jalalyazdi

Article Type: Research Article | First Published: August 17, 2018

Inflammation has an important role in chronic obstructive pulmonary diseases (COPD) and statins are believed to have anti-inflammatory effects beyond low-density lipoprotein cholesterol reduction. This study aimed to assess the effect of statin on the function of the right ventricle and inflammatory markers in COPD patients....

 Open Access DOI:10.23937/2474-3674/1510042

Modeling Quality Improvement Strategies to Reduce Treatment Delays for Severe Sepsis at a Tertiary Care Hospital in India

Srihari Cattamanchi, Lucas C Carlson, Felicity Gonzalez and Anbrasi Edward

Article Type: Original Article | First Published: August 16, 2018

Extensive evidence from high-income countries has demonstrated the value of quality improvement (QI) methods yet reports of their use in LMICs are markedly limited. We aim to explore how QI can be implemented in the setting of an LMIC to remove barriers to timely antibiotic therapy for severe sepsis....

 Open Access DOI:10.23937/2378-3656/1410230

A Chronic Precipitant for Acute Intermittent Porphyria

Nick Li

Article Type: Case Report | First Published: August 15, 2018

Acute intermittent porphyria (AIP) is a rare inherited disorder of heme metabolism caused by a heterozygous, loss-of-function mutation affecting the enzyme porphobilinogen deaminase (PBGD). The remaining enzymatic activity is sufficient to avoid accumulation of intermediate metabolites until hepatic heme production is further activated, i.e. by a precipitant....

 Open Access DOI:10.23937/2469-5793/1510087

The Reasons and Strategies of High Cesarean Section Rate from Chinese Obstetricians and Midwives Perspective in the Public Hospitals: An Interpretative Phenomenologic Analysis

Minjie Li, Wei Gu, Xiaomei Li and Xiaoqin Wang

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

Despite the ever-increasing rate of Cesarean Section (CS) in China, little is known about both the reasons and strategies of high Cesarean Section Rate (CSR) from the perceptions of obstetricians and midwives, who have great influence on deciding the delivery mode. The study aims to describe obstetricians and midwives' perceptions of the essence of the increasing CSR in the tertiary (city) and secondary (county) hospitals in China....