Open Access DOI:10.23937/2378-3516/1410027

Outcomes of Moderate-Severe Community-Acquired Pneumonia in Patients with Diabetes Mellitus: Impact of Systemic Steroids and Time to First Dose of Appropriate Antibiotic Therapy

Mazen S. Bader, Kassem Abouchehade, Annie A. Brooks, Yanqing Yi

Article Type: Research Article | First Published: September 10, 2015

In patients with diabetes mellitus (DM), community-acquired pneumonia (CAP) is associated with significant morbidity and mortality. The primary objective of the study was to describe the clinical outcomes and risk factors for moderate-severe CAP in hospitalized patients with DM. Methods: We conducted a retrospective cohort study of 156 hospitalized patients with DM and moderate-severe CAP at two tertiary medical centers....

 Open Access DOI:10.23937/2378-3516/1410026

A Study to Determine the Level of Knowledge, Attitudes and Practices on the Cause, Treatment, Prevention and Control of ILI Infections

Philip M Muthoka, Dismas Ongore and Mary Kinoti

Article Type: Research Article | First Published: September 07, 2015

ILI infections are infections of the human respiratory tract. They are caused by various viruses including corona viruses, adeno-viruses, influenza virus types A, B and C, among others (CDC- US, 2005). When these infections are circulating within the community, patients with ILI infections who have both cough and fever within 48 hours of symptom onset are likely to have influenza (A or B) infections. In Kenya, these infections cause significant morbidity leading to a lot of lost time of producti...

 Open Access DOI:10.23937/2469-5823/1510014

Obesity: A Persistent Global Health Problem

Linda Eanes

Article Type: Research Article | First Published: November 04, 2015

Despite extensive public attention given to diet and exercise as effective counter measures to obesity and obesity-related problems, there has been no significant reduction in obesity rates in the United States and throughout the world. The author provides a brief update on obesity, dietary and physical activity guidelines, potential contributing factors to behavioral change and the role that nurses have in advancing health promoting activities that can reduce the health risks associated with ob...

 Open Access DOI:10.23937/2469-5823/1510013

Monitoring Patients with Chronic Heart Failure Using a Telemedicine Platform: Contribution of the E-Care and INCADO Projects

Emmanuel Andres, Samy Talha, Ahmed Benyahia A, Olivier Keller, Mohamed Hajjam, Jawad Hajjam, Sylvie Erve, Justine Boehler, Catherine Grohens and Amir Hajjam

Article Type: Review Article | First Published: November 02, 2015

Monitoring patients with heart failure by telemedicine systems is a potential means susceptible to optimize the management of these patients and avoid life-threatening emergencies. In this context, we experimented in real life an e-platform dedicated to automated, intelligent detection of situations at risk of heart failure....

 Open Access DOI:10.23937/2469-5823/1510012

A Scoping Review of Research Involving Nurses and Electronic Health Records in Middle Eastern Countries

Gillian Strudwick, Ai Tanimizu, Sandhya Nilacka Saraswathy, Sara Yousef and Veronica Nickerson

Article Type: Research Article | First Published: November 02, 2015

Nurses effective and efficient use of electronic health records (EHRs) is essential for the successful adoption of the technology. In recent years, countries within the Middle East have experienced an increase in the installation and implementation of such technologies, with nurses representing the largest user group. As such, the aim of this literature review is to understand the scope of research containing nurse participants related to the technology and its use in the region....

 Open Access DOI:10.23937/2378-3001/2/2/1033

Cognitive Impairment and the Diabetic Brain

Kurt A Jellinger

Article Type: Mini Review | First Published: October 12, 2015

Alzheimer's disease (AD) and diabetes mellitus (DM) are the two most common and devastating health problems in the elderly. DM is a known risk factor for the development of cognitive dysfunction and dementia. Epidemiological and biological evidences support a link between type 2 DM (T2DM) and AD, but the precise mechanisms involved in the development of cognitive impairment in diabetics are not fully understood. Possible pathogenic pathways include genetic factors, ageing, ApoE status, hypo- and...

 Open Access DOI:10.23937/2378-3001/2/2/1032

Citicoline Treatment Improves Measures of Impulsivity and Task Performance in Chronic Marijuana Smokers: A Pilot BOLD fMRI Study

Staci A. Gruber, Kelly A. Sagar, Mary Kathryn Dahlgren, Atilla Gonenc, Nina A. Conn, Jeffrey P. Winer, David Penetar and Scott E. Lukas

Article Type: Original Research Article | First Published: September 10, 2015

Citicoline is an endogenous nucleotide that has historically been used to treat stroke, traumatic brain injury, and cognitive dysfunction. Research has also shown that citicoline treatment is associated with improved cognitive performance in substance-abusing populations. We hypothesized that marijuana (MJ) smokers who received citicoline would demonstrate improvement in cognitive performance as well as increased neural efficiency during tasks of cognitive control relative to those who received ...

 Open Access DOI:10.23937/2572-3235.1510004

Visualization of Vascular Anastomosis as Responsible Sites of Hemoptysis by Three-Dimensional Angiography for the Guidance of Endovascular Treatment

Kembu Nakamoto, Hiroshi Hashiyada, Toshiyuki Fujii, Motohiro Takeshige, Kazuya Yoshida and Kaido Ooishi

Article Type: Case Report | First Published: October 22, 2015

The major site of bronchial hemorrhage in inflammatory hemoptysis is vessel anastomoses (VA) between pulmonary and systemic arteries. Three-dimensional computed tomographic angiography (3D-CT angio) was applied to depict VA for accurate access in endovascular treatment (EVT) for two patients with bronchiectasis. Fusion of the images of pulmonary and systemic 3D-CT angio visualized VA of potential hemorrhagic bronchi. VA depiction allowed successful EVT for hemoptysis with exclusion of non- respo...

 Open Access DOI:10.23937/2572-3235.1510003

A Case of Spontaneous Bacterial Peritonitis after Radiofrequency Ablation of an Early Hepatocellular Carcinoma

Pierleone Lucatelli, Beatrice Sacconi, Emanuele Arcangelo d'Adamo, Carlo Catalano and Mario Bezzi

Article Type: Case Report | First Published: September 14, 2015

Radiofrequency ablation (RFA) is frequently used to treat small hepatocellular carcinoma (HCC), with similar outcome to surgery. The procedure is relatively safe, with low morbidity and mortality rates. The most common major complications are both intra-hepatic (bleeding, abscess and biliary injury) and extra-hepatic (peritoneal bleeding, gastrointestinal perforation, pleural effusion). We report a successfully managed case of spontaneous bacterial peritonitis (SBP) after RFA of a left liver lob...

 Open Access DOI:10.23937/2572-3278.1510008

Nutritional Intake and Cardiovascular Risk Factors in Saudi Subjects with Different Degrees of Atherosclerosis: A Case Control Study

Eman M Alissa and Nabeel A Alama

Article Type: Original Article | First Published: October 14, 2015

Coronary heart disease (CHD) is related to a large number of environmental and lifestyle factors including an unhealthy dietary pattern, physical inactivity and a positive smoking habit. Dietary modification has been involved in managing and reducing the risk of CHD. We aimed to assess the dietary intake of Saudi population with various degrees of atherosclerosis, and to examine the relationship between specific nutrient intakes with some classical cardiovascular risk factors. ...