Open Access DOI:10.23937/2378-2951/1410286

Deferred vs. Performed Percutaneous Coronary Intervention for Coronary Stenosis with Grey-Zone Fractional Flow Reserve Values

Mohamed Abdelsalam Ali Mousa, MD, Hesham Hegazy Ali, MD, Mohamed Ahmed Oraby, MD, Walid Hassan, MD, MACP, FAHA, FACC, FACP and Ahmed Hassan Abdelmoneim, MD

Article Type: Research Article | First Published: 2023/10/21

Fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) has shown better clinical outcomes than conventional angiography-guided PCI. The optimal FFR cut-off value for revascularization is debated. With FFR ≤ 0.75, revascularization for coronary artery disease (CAD) stenosis is associated with improved clinical outcomes, whereas with FFR ≥ 0.8, medical treatment has been shown to result in favorable long-term outcomes. ...

 Open Access DOI:10.23937/2643-4512/1710092

Birth and Death Rates, and Causes of Death among the General Population in Kono District, Sierra Leone, 2020-2021

Ivan Augustine Barrie, Babatunde Duduyemi, Solomon Aiah Sogbeh, Philip Gevao, Adel Hussein Elduma and Gebrekrstos Negash Gebru

Article Type: Original Article | First Published: 2023/10/22

Civil registration is the most effective way to keep track of all births and deaths. Despite the existence of the Birth and Death Act (1983), Sierra Leone registers 93% of births and only 57% of deaths annually. To provide more accurate inter-census population estimates, we estimated the birth and death rates, registration distribution, and causes of death for Kono District population in Sierra Leone....

 Open Access DOI:10.23937/2469-5823/1510189

Evaluation of Instructional Program on Pediatric Nurses' Knowledge Regarding Managements of Neonatal Birth Asphyxia in Mosul Hospitals

Mohammed Ahmed Sultan Alwily, PhD

Article Type: Research Article | First Published: 2023/10/22

Birth asphyxia, which is defined as the failure to establish breathing following delivery and causes an estimated 900,000 deaths each year. This investigation tries to measure the efficiency of an instructional program on the knowledge of pediatric nurses concerning neonatal birth asphyxia management in Mosul Hospitals....

 Open Access DOI:10.23937/2643-3966/1710060

Long-Term Follow-Up of Patients with Brugada Syndrome: Foremost Risk Factors Associated with Arrhythmic Events

Volkan Camkiran, MD, Ozge Ozden, MD and Ilyas Atar

Article Type: Original Article | First Published: 2023/10/30

Brugada syndrome (BS) is characterized by ST segment elevation in right precordial leads (V1-3), ventricular tachycardia (VT), ventricular fibrillation (VF) and sudden cardiac death (SCD) in individuals without structural heart disease. The aim of this study was to assess parameters associated with in patients with BS....

 Open Access DOI:10.23937/2378-3656/1410437

Incidental Diagnosis of Coarctation of the Aorta in a Pregnant Patient with Severe Hypertension and Respiratory Distress

Ajit Kumar Thakur, Rajnikant Prasad, Richa Tiwari and Sandeep Kumar

Article Type: Case Report | First Published: 2023/10/14

A 30-year-old primigravid at 31 weeks of gestation with ARDS and severe PIH was initially diagnosed at an external facility. Despite aggressive management, her blood pressure remained high. An incidental chest CT scan revealed overlooked coarctation of the aorta. Other secondary causes, like pheochromocytoma and renovascular hypertension, were explored....

 Open Access DOI:10.23937/2378-3656/1410436

Traumatic Splenic Rupture Unmasking Necrotizing Histoplasmosis in a Sickle Cell Anemia Patient: The Mystery behind Recurrent Abdominal Pain

Ogechi Agogbuo, MD, Priscilla Ozueh, MD, Yashashree Vegi, MD, Celestine Ishiekwene, MD, Michael O. Agogbuo, MD and Kavita Nirmal MD

Article Type: Case Report | First Published: 2023/10/12

Sickle cell anemia is the most common abnormality of the red cell. The clinical manifestations of SCD are mostly related to hemolytic anemia, hypersplenism, and Vaso-occlusion, which can lead to acute and chronic pain and tissue ischemia or infarction. Disseminative or primary invasive infections such as histoplasmosis can masquerade in splenomegaly resulting in multiple hospital visits for acute splenic crises, causing increased morbidity and mortality. ...

 Open Access DOI:10.23937/2474-3658/1510307

Impact of Demographic Characteristics and Therapy on Tuberculosis Incident Cases

Iliedor Garcon

Article Type: Dissertation | First Published: 2023/08/30

For more than two decades, tuberculosis (TB) has ranked second among the top killers of infectious diseases, with an estimated 10.4 million incident cases in 2018. Demographic characteristics and drug susceptibility influence TB incidence worldwide. Using a retrospective cohort design, the purpose of this quantitative study was to investigate whether race/ethnicity, age, sex (gender), therapy completion within one year (COT), and testing for isoniazid and rifampin susceptibility (TIRS) were pred...

 Open Access DOI:10.23937/2572-4037.1510070

Psychological Consequences of Female Genital Mutilation - A Review

Catarina Manuel, Mariana Fortunato and Catarina Cativo

Article Type: Review Article | First Published: 2023/10/12

Negative psychosocial consequences of FGM include posttraumatic stress disorder, anxiety disorders, panic disorders, depression and suppression of feeling and thinking, and sometimes attempted suicide, difficulties in sexual and marital life....

 Open Access DOI:10.23937/2469-567X/1510090

Prevalence of Mycobacterium tuberculosis among HIV Patients Attending Federal Medical Centre Asaba, Delta State

Odiase Edgar Onyeka, Olley Mitsan, Daniel Ohilebo Ugbomoiko, Theophilus Ogie Erameh, Ezekiel Dauda Gambo, Ofili Sandra Kanwulia, Muhammad Adamu Ibrahim and Paul Yiran Ntasin

Article Type: Original Research | First Published: 2023/10/09

Co-infection with tuberculosis (TB) and human immunodeficiency virus (HIV) is a major public health issue worldwide. Despite greater access to antiretroviral medication (ART), mortality in PLHIV remains high, with tuberculosis (TB) being the major cause of death. The rising prevalence of HIV/TB co-infection is concerning. Understanding the incidence of tuberculosis among HIV seropositive people...

 Open Access DOI:10.23937/2572-3243.1510127

The Effect of Estrogen on Anterior Cruciate Ligament Structure and Function: A Systematic Review

Katherine M. Birt and Helen E. McCarthy

Article Type: Review Article | First Published: 2023/09/30

Scopus and PubMed search engines were selected to perform a series of searches in April and May 2022. An exclusion criterion was implemented, and each article was critically analysed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) structure was utilised to outline how the literature selection was made....