Open Access DOI:10.23937/2572-3308.1510014
Hypersensitivity Reaction to Triptorelin in a 4-Year Old Girl
Nucera Eleonora, Aruanno Arianna, Rizzi Angela, Giampietro Antonella, Cimino Vincenzo, De Marinis Laura and Schiavino Domenico
Article Type: Case Report | First Published: March 31, 2016
We report the case of a 4-year old girl, with idiopathic CPP and negative clinical history for allergic diseases, who experienced multiple episodes of erythematous rashes after 40-60 minutes from the subcutaneous administration of Decapeptyl (triptorelin). Every time her symptoms were treated with antihistamines and corticosteroids and receded in four days....
Open Access DOI:10.23937/2469-5742/1510014
Anatomic, Clinical and Therapeutic Aspects of Circumcision Accidents in Yaounde, Cameroon
Mouafo Tambo FF, Ditope JJ, Fossi G, Fadi S, Nyanit Bob D, Mbouche L, Andze OG and Sosso MA
Article Type: Original Article | First Published: May 06, 2016
This was a retrospective and descriptive study, of all children who presented with complications related to circumcision over a period of 10 years, dating from (September 2005 to September 2015) at the pediatric surgery service of the Yaounde Gyneco-obstetric and Pediatric hospital. Included in this study were all male children patients aged between 0 to 15 years managed for a circumcision accidents in our center. Excluded from the study were; circumcision accidents that occurred in patients wit...
Open Access DOI:10.23937/2378-3672/1410017
The Infectious Disease of the Immunocompromised Host and the Elderly: Listeriosis
Ozgenc O, Meltem A
Article Type: Review Article | First Published: March 23, 2016
Listeria monocytogenes is an uncommon cause of illness in the general population. However, this bacterium is an important cause of severe infections in neonates, pregnant women, the elderly, transplant recipients, and other patients with impaired cell-mediated immunity. Various clinical features due to L. monocytogenes have been described such as sepsis, central nervous system infections, endocarditis, gastroenteritis and localized infections. A review of the clinical aspects of listeriosis with...
Open Access DOI:10.23937/2469-5823/1510043
The Need for Safe Patient Handling Programs
Guy Fragala
Article Type: Commentary | First Published: March 31, 2016
Healthcare today faces numerous challenges and opportunities for improvement, and many of these issues relate to providing efficient high level care in a cost efficient manner. Efforts to meet these challenges are driven by better standards for care evolving from the evidence base created through research and practices which when applied lead to better outcomes. However, the demands presented to the healthcare practitioner to integrate the new concepts for care into the current environment of ca...
Open Access DOI:10.23937/2474-3674/1510013
Use of Steroid for Extubation Failure due to Stridor in Surgical Intensive Care Patients
Nissar Shaikh, Tasneem Mehesry, Gulzar Hussain, Arshad Chanda, Ali Belkhair, Syed Sheikh, Faisal Malmstrom and Marcus AE
Article Type: Research Article | First Published: April 08, 2016
Extubation failure increases morbidity and mortality in intensive care. Laryngeal edema which developed post extubation is one of the major risk factor for extubation failure. Post extubation laryngeal edema occurs in up to 37% of the extubations. Steroids are commonly used pre extubation to prevent development of laryngeal edema. Aim of this study was to find whether steroids can prevent post extubation laryngeal edema and types of patients who frequently fails extubation....
Open Access DOI:10.23937/2474-3674/1510012
Almost Total Airway Obstruction Due to Unidentified Massive Hemoptysis under Extracorporeal Membrane Oxygenation
Satoshi Kazuma, Yoshiki Masuda, Hiroomi Tatsumi, Kanako Takahashi, Shinichiro Yoshida, Maiko Honma, Hitoshi Imaizumi and Michiaki Yamakage
Article Type: Case Report | First Published: February 26, 2016
A 54-year-old female weighing 62 kg had hemoptysis with an unidentified focus 4 months before and had been followed in the Department of Respiratory Medicine. Angiographic embolization was performed for a right bronchial artery ramification suspected of being the bleeding focus by bronchofiberscopy, but there were few effects. Right middle lobectomy was performed to control the persistent hemoptysis, and tracheal extubation was performed on the second day of illness. Sustained hemoptysis develop...
Open Access DOI:10.23937/2474-3674/1510011
Inter-hospital Critical Care Transport: Implementation of a Novel Policy and Review of the Literature
Andrea M Pakula, Jannet Gannon, Lisa Mundy, Kathleen Berns, Anita Stoltenberg and Beth A Ballinger
Article Type: Literature Review | First Published: January 30, 2016
The decision to transport a critically ill patient is based on the need for diagnostic or therapeutic procedures that are not available within the intensive care unit. Most commonly this type of transport is within the home facility and is for procedures such as imaging or for operative intervention. Theoretically, intra-hospital transfers are safer than the transfers to another institution, as transfers outside of the home facility tend to require the coordination of extensive cardio-pulmonary ...
Open Access DOI:10.23937/2474-3658/1510012
Resistance Profile of Mycobacteria Isolated from Patients Undergoing Retreatment in Senegal
Mouhamadou Lamine Dia, Sow AI, Cisse MF, Gueye Pal, Ba F, Cisse NN, Balde O, Diouf B and Sarr M
Article Type: Short Note | First Published: April 01, 2016
Resistance to anti-tuberculosis medication is a major public health problem worldwide and Senegal is not spared. Indeed, the WHO reported 13,186 cases of tuberculosis in Senegal (including new cases and relapses) for 2013, 2.1% of which were multidrug-resistant tuberculosis (MDR-TB) among new cases and 17% in retreatment patients. Elsewhere in the world, the WHO estimates the number of people infected with Mycobacterium tuberculosis (M. tuberculosis) at around 2 billion and the number of cases o...
Open Access DOI:10.23937/2572-3278.1510013
The Role of Vitamin D in Metabolic Syndrome
Hwei-Fang Tsai
Article Type: Review Article | First Published: March 31, 2016
The effects of vitamin D on bone and mineral metabolism were well known. Proper exposure under the sunlight to increase body vitamin D content was long well practiced. Still vitamin D deficiency was frequently detected in variable areas of the world. Vitamin D deficiency is not uncommon even in the tropical countries. Recently it was much appreciated that vitamin D status might be correlated with components of metabolic syndrome, such as insulin resistance, glucose intolerance, increased low den...
Open Access DOI:10.23937/2572-3278.1510012
The Assessment, Knowledge and Perceived Quality of Nutrition Care amongst Nurses
Miriam Theilla RN, Jonathan Cohen, Pierre Singer, Chedva Liebman and Ilya Kagan
Article Type: Research Article | First Published: March 25, 2016
The Rabin Medical Center (RMC), a tertiary care, university-affiliated, 1,300-bed hospital in central Israel, recognized the need for a multi-disciplinary approach and so established a Clinical Nutrition Forum (CNF) comprising physicians, dieticians, pharmacists and nutrition nurses. The Forum worked in collaboration with departmental dieticians and physicians. However, of all the healthcare providers involved in the CNF, the involvement of nurses at the bedside is very limited and focused mainl...