Open Access DOI:10.23937/2474-3674/1510035
Acute Inferior Wall ST Segment Elevation Myocardial Infarction diagnosed During Bi-Ventricular Pacing
Jaspreet Singh, Shankar K Thampi, Amit Alam, Rajiv Jauhar, Apoor Patel, and Avneet Singh
Article Type: Case Report | First Published: June 15, 2018
Specific criteria have been developed for the diagnosis of acute myocardial infarction in patients with right ventricular pacing, but not for patients with bi-ventricular pacing. We present a case of a patient with a biventricular implantable cardioverter defibrillator (BiVICD), who presented with symptoms consistent with acute coronary syndrome (ACS), new ST elevations of the inferior leads, and was found to have acute occlusion of right coronary artery (RCA)....
Open Access DOI:10.23937/2474-3674/1510034
Noise Pollution in the Pediatric Intensive Care Unit and its Effect on Sedation
Bree Kramer and Christopher Heard
Article Type: Research Article | First Published: June 14, 2018
Noise exposure is an important factor in the management of intensive care patients. There are many different causes of noise in the ICU such as equipment, monitors, staff, family plus other additional sources. Patients in the ICU are exposed to these noise sources for 24 hours a day with no respite. The noise levels can vary significantly during the day as well as significantly between patient bed-spaces. There are detrimental effects from excessive noise exposure; some of this is related to the...
Open Access DOI:10.23937/2469-5777/1510060
Traumatization and Trauma Cases: Childhood Adversity and Deafness
Trevor Archer and Madeleine ET Zoller
Article Type: Review Article | First Published: June 14, 2018
The association between adverse childhood experience and later adult psychological health has been well-documented. Thus, the presence of adult, parental, low income, social support and adult adversity are the avenues through which adverse childhood presents its influence upon psychological and somatic health deficits during adulthood. The early childhood environment governs an early highly sensitive period for the development of regional brain circuitry for cognition and emotion, attention, sel...
Open Access DOI:10.23937/2469-5726/1510061
Ten Year Risk of Cardiovascular Events during anti-TNF Alpha in Rheumatoid Arthritis Patients
Ilaria Cavazzana, Carlo Alberto Scire, Francesca Dallara, Maria Lorenza Muiesan, Angela Tincani and Franco Franceschini
Article Type: Research Article | First Published: June 14, 2018
Rheumatoid arthritis (RA) is a chronic and systemic inflammatory disease, characterized by an increased risk of premature death, largely due to cardiovascular disease (CVD) and particularly to coronary artery disease (CAD). In addition to classical Framingham CV risk factors, the inflammatory burden of the disease leads to the development of early and accelerated atherosclerosis, mediated by cytokines, immune complex, abnormal lipid metabolism and endothelial dysfunction....
Open Access DOI:10.23937/2378-3516/1410080
Respiratory Disorders in Aluminum Extrusion Workers
Ammar Awad Elshiekh Elmajzoup, Abdel Rouf Ahmed Abbas Elbadawi and Faiz Abel Wahab Mohammed
Article Type: Original Article | First Published: June 14, 2018
The present study determined the prevalence of work-induced respiratory symptoms among Sudanese extrusion workers in an aluminum (Al) extrusion plant where the health effects of exposure duration, S-Al, and U-Al concentrations were evaluated. A total of 109 workers were enrolled in our study. Ambient Al fumes was estimated using a flame atomic absorption spectrophotometer (Varian, Spectr AA-250)....
Open Access DOI:10.23937/2378-3419/1410094
Axillary Web Syndrome: What the Radiologist Needs to Know
Ray C Mayo
Article Type: Case Report | First Published: June 14, 2018
A 60 yr African American female was called back from her annual screening mammogram for an asymmetry in the upper outer quadrant of the left breast on the MLO view. Ultrasound revealed a 1.7 cm irregular hypoechoic mass with indistinct margins. Additionally multiple sub-centimeter non-contiguous hypoechoic satellite masses extended towards the nipple. One axillary node showed focal cortical thickening. Subsequent biopsy of the 1.7 cm mass and most anteriorly located satellite mass showed invasiv...
Open Access DOI:10.23937/2377-4630/1410067
Interdisciplinary Anesthesia Tray Revision Project: Reducing the Opportunity for Human Error
Smith KL, Sharp C, Smith E, Currie M, Hall KP, Vu T, Lee M and Cooper RL
Article Type: Research Article | First Published: June 14, 2018
Medication errors cause an estimated 100,000 to 400,000 patient deaths in the United States annually (IOM). Previous reviews on this alarming statistic consistently identify human error as the most common etiology. The potential for medication errors is especially high risk in the operating suite, where the provider simultaneously selects, doses and verifies medications to be administered to patients. Additionally, a lack of standardization and error reduction strategies in this setting creates ...
Open Access DOI:10.23937/2469-5793/1510077
Evolution of the World Bank Response to Infectious Disease Outbreaks:From a Reactive to a Proactive Approach
Willy De Geyndt
Article Type: Review Article | First Published: June 13, 2018
Six major infectious disease outbreaks have occurred in rapid succession in the twenty first century causing an estimated $80 billion in economic losses and many lives lost. The World Bank Group (WBG) was not prepared to respond quickly and effectively to contain the spread of these outbreaks. It reacted too late to the earlier outbreaks but slowly improved its response time and its coordination with major stakeholders. The response time of its financing contribution decreased across the six inf...