Open Access DOI:10.23937/2474-1353/1510155

The Association between Fertility and Household Food Insecurity among Reproductive-Age Women in Lideta Sub-City, Addis Ababa, Ethiopia

Ephrem Tadesse Goda, Terefe Degefa Boshera and Mengistu Ketema Aredo

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

Family planning and women's health are vital to food security and nutrition. Enhanced reproductive health fosters better nutrition and facilitates the attainment of a sustainable family size. This study aims to examine the association between household food insecurity and fertility in Lideta Sub-City, Addis Ababa, Ethiopia, and identify correlating factors....

 Open Access DOI:10.23937/2643-3885/1710085

Management of Irreducible Interphalangeal Toes Dislocations in Adults Using WALANT: Algorithm Approach Based on a Novel Classification and Literature Review

Hermann Victoire Feigoudozoui, Dogossou Parteina, Dominique Estelle Pemboura Ngou, Christophe Hassia Nassou and Seydou Gnombena N'golo Koné

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

Irreducible interphalangeal dislocations of the toes have traditionally been treated by surgical reduction fixed with a K-wire, screw or external fixator. In this study, the surgical implant was replaced by a plaster splint. This study aimed to describe an innovative approach to treating irreducible interphalangeal toe dislocations using a plaster splint in syndactyly and to evaluate the complications associated with this technique....

 Open Access DOI:10.23937/2377-9004/1410247

Postpartum Spontaneous Pneumomediastinum: Role of Patient Position in Pathologic Process

Lila Marshall, Chloe Williams1, Zimeng Gao, Paul Feingold and Julia MacCallum

Article Type: Case Report | First Published: 2023/09/09

Spontaneous pneumomediastinum (SPM) is rare complication of labor that has been associated with the Valsalva maneuver. While the available literature has elucidated the appropriate diagnosis and management, no reports have commented on patient position as a risk factor for the development of SPM....

 Open Access DOI:10.23937/2643-3966/1710058

Complications of a Giant Left Atrium - Extensive Thrombus Formation Despite Therapeutic Anticoagulation

Charles Croughan, MD, Balaj Rai, MD, Zachary Gilbert, MD, William David Nickell PA-C, Nathaniel Dittoe, MD, Brian Schwartz, MD and Peter Pavlina, MD

Article Type: Case Report | First Published: 2023/09/11

Left atrial thrombus (LAT) formation is a feared complication of atrial fibrillation, as it can lead to thromboembolic stroke or thromboembolism to another peripheral region causing ischemia. Despite therapeutic anticoagulation, recurrence of thrombi is still possible, although unlikely. Prevention strategies may include reducing left atrial size along with treatment by surgical removal. We present a case of a patient with a large left atrial thrombus in the setting of previous mitral valve sten...

 Open Access DOI:10.23937/2643-3966/1710057

Hypertrophic Cardiomyopathy? Think Again, PRKAG2 Syndrome

Juan Linares, MD, Charles Croughan, MD, Damian Valencia, MD, Rehan Ahmed, MD and Vaskar Mukerji, MD

Article Type: Case Report | First Published: 2023/09/10

Hypertrophic cardiomyopathy (HCM) is a disorder characterized by ventricular hypertrophy and myocyte disarray that increases the risk of arrhythmic sudden cardiac death. HCM phenocopies are disease entities sharing a left ventricular hypertrophy phenotype but arising from a different pathologic mechanism. Patients with PRKAG2 syndrome (PS), a glycogen storage disease, are often misdiagnosed as having HCM. Clinicians must be familiar with red flags alerting to the possibility of this important di...

 Open Access DOI:10.23937/2377-4630/1410162

Effectiveness of Transtracheal Lignocaine in Relieving Post Extubation Laryngospasm: A Case Report

Ratul Kundu, Anindita Saha, Ananya Sukul and Suman Samanta

Article Type: Case Report | First Published: 2023/09/09

Laryngospasm is reversible spasm of vocal cords that is common in patients who are undergoing upper airway related surgeries under general anaesthesia. It occurs mostly following extubation; requires immediate management and if these patients are left untreated rapid decrease in saturation with bradycardia may take place. Lignocaine is considered effective in prevention of laryngospasm by both topical and intravenous route....

 Open Access DOI:10.23937/2378-2951/1410280

CIED Infection Management: Gaps between Guidelines and Patients

Michael M Dore, MD

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

The implantation of cardiac implantable electronic devices (CIED) and subsequent CIED infections have risen in recent years; a retrospective study the National Inpatient Sample (NIS) discharge records revealed an 96% increase in CIED implantations between 1996 and 2008; in accordance with the increase in device implantations, this study showed a 210% increase in CIED infections in the same time period....

 Open Access DOI:10.23937/2474-3690/1510077

The Increasing Burden of Hypertension in Cameroon: Considerations for Prevention and Non-Pharmacological Interventions

Etienne Ngeh Ngeh

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

Hypertension is an emerging health concern in Cameroon that is expected to cause a heavy health burden in the future. Prevention and management with non-pharmacological interventions are feasible and effective. This article highlights the benefits, and challenges of implementing non-pharmacological interventions in Cameroon and proposes strategies to improve the situation....

 Open Access DOI:10.23937/2474-3690/1510076

Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis

Michael Hayes, MB, BDentSc, MRCPI and Donal J Sexton, MB, MRCPI, PhD

Article Type: Systematic Review and Case Report | First Published: 2023/09/09

Bilateral renal artery stenosis (RAS) causing recurrent hypertensive emergency and pulmonary oedema is difficult to manage. Use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) is usually contraindicated. We present a systematic review of literature and a case vignette which highlights the useful properties of mineralocorticoid receptor antagonists (MRAs) in this scenario....

 Open Access DOI:10.23937/2572-3243.1510126

Neglected Radiocarpal Dislocations: Descriptive Note on Five Cases in Black Africa

Seydou Gnombena N’golo Koné, Hermann Victoire Feigoudozoui and Ulrich Florentin N’guena Yamalet

Article Type: Original Article | First Published: 2023/09/07

Patients were assessed for function at a minimum follow-up of 24 months. The total Quick DASH score was obtained using the formula: [(Sum) × 1.1] × 5/2. The mean Quick DASH score was 88.55 (extremes: 74.25 and 99). The mean modified Green and O'brien score was 96 (extremes: 80 and 100)....