Open Access DOI:10.23937/2474-1353/1510153
Factors Associated with Home Deliveries in Rural Communities, Tanzania: A Cross-Sectional Study
Nazarius John Gecke, Bosco Pius Mapunda and Andrew Hans Mgaya
Article Type: Original Article | Publication Updated: 2023/05/12
A facility-based cross-sectional study was conducted in 2018 in rural communities of Rorya district. A survey of 430 women who delivered within the past 3 years was performed using a questionnaire adopted from Tanzania Demographic Health Survey 2015/16. Bivariate and multivariate analysis was performed to identify independent association of home delivery to demographic, socio-cultural and geographical factors and utilization for maternity services....
Open Access DOI:10.23937/2469-5718/1510255
Detraining in Older Women: Influence of Previous Resistance Training with Different Exercise Orders on Muscular Strength, Flexibility and Functional Capacity
Rodrigo Garcia Fiorillo, Ágatha Graça, Alex Silva Ribeiro, Higor Santos Fonseca, Daniel Vicentini de Oliveira, Jerry L Mayhew, Edílson Serpeloni Cyrino and Matheus Amarante do Nascimento
Article Type: Original Article | Publication Updated: 2023/07/15
Twenty-three older women (61.6 ± 6.7 years; 74.2 ± 12.6 kg; 156.2 ± 5.9 cm) were randomized to a group that performed the exercises from multi- to single-joint order (MJ-SJ, n = 10) or a group that performed the exercises from single- to multi-joint order (SJ-MJ, n = 13). Both performed the same RT program (7 exercises, 3 sets of 10-15 maximum repetitions, twice a week, 16 weeks). Following the RT program, participants detrained for 16 weeks....
Open Access DOI:10.23937/2643-4571/1710054
Morbidity Risk across the Lifespan for Adults with Spinal Muscular Atrophy: A Retrospective Cohort Study
Daniel G Whitney, PhD, Erin E Neil Knierbein, DO and Alecia K Daunter, MD
Article Type: Research Article | Publication Updated: 2023/07/12
Recently approved treatments for spinal muscular atrophy (SMA) may shift clinical care priorities to secondary complications associated with SMA-related aging. To date, there is little knowledge about the natural history of morbidities across the adult lifespan for SMA. The objective of this study was to identify the risk of various morbidities among adults with vs. without SMA prior to SMA-related treatment....
Open Access DOI:10.23937/2469-5777/1510100
Spinal Anaesthesia for Hip Fracture in an Elderly Patient with Aortic Dissection and Dilated Cardiomyopathy: A Case Report
Yudhyavir Singh and Balaji Nagarajan
Article Type: Case Report | Publication Updated: 2023/07/07
Aortic dissection is a preventable life-threatening condition, but fatality can be extremely high if not treated timely. And if it is associated with dilated cardiomyopathy, it can be catastrophic for them, and managing this can be an anesthetic nightmare. Here, we present elderly female patients diagnosed with aortic dissection on evaluation with a known case of dilated cardiomyopathy coming for hip fracture fixation. The case was managed with low-dose spinal anaesthesia along with good hemodyn...
Open Access DOI:10.23937/2377-9004/1410245
Higher Order Thinking about Differential Diagnosis: Pelvic Segmental Neurofibromatosis
CULEJ DIANA, Bursać D, Perković P, Valetić J, Duić Ž and Gašparov S
Article Type: Case Report | Publication Updated: 2023/07/16
We report a case of a segmental neurofibromatosis or type V neurofibromatosis, a rare genetic disorder defined by a limitation of multiple macular cutaneous pigmentations “cafe-au-lait” (CAL) spots and/or neurofibromas to a single, unilateral segment of the body. A 34-year-old woman presented to our Deparment with tender, subcutaneous, palpabale nodules arising from previous episiotomy scar 2 years postpartum. ...
Open Access DOI:10.23937/2377-9004/1410244
Technique for Minimally Invasive Treatment of Gestational Uterine Incarceration: A Case Series and Literature Review
Kassandra Colletta, MD, Zachary Selzler, MD, Jacqueline Jacobs Vogel, MD and Glendell de Guzman, MD
Article Type: Case Report | Publication Updated: 2023/07/07
Uterine incarceration is a rare condition that can develop during pregnancy when an enlarging retroverted uterus becomes entrapped within the maternal pelvis. Diagnosis can be challenging as it often presents with vague symptoms, but identification and treatment are crucial for both the developing pregnancy and long-term maternal morbidity. Repositioning of the retroverted uterus is necessary for the development of normal pregnancy and can occur spontaneously, but oftentimes manual repositioning...
Open Access DOI:10.23937/2377-9004/1410243
Atypical Sites of Endometriosis: Primary Inguinal Cutaneous Endometriosis
CULEJ DIANA1*, Bursać D1,2, Perković P1, Duić Ž1,3 and Gašparov S
Article Type: Case Report | Publication Updated: 2023/07/05
Endometriosis is a chronic inflammatory disease defined as the presence of endometrium-like tissue outside the uterus. It is mostly found in women of reproductive age. Depending on the involved site, women can present with various symptoms. We report a case of rare, atypical site of endometriosis - primary inguinal cutaneous endometriosis. A 27-year-old woman presented to our Deparment with a history of a painful, firm, movable, subcutaneous nodule 1 × 1 cm of size in the right inguinum. ...
Open Access DOI:10.23937/2469-5858/1510148
Small Vessel Cerebrovascular Disease and Covert Cerebral Infarcts
Emma Jay and Meena Srinivasan
Article Type: Review Article | Publication Updated: 2023/07/07
This article summarises current research findings and expert consensus about the treatment of patients in whom covert cerebral vascular disease is identified - a common incidental finding on CT head scans which can often lead to questions about clinical management and whether new medications should be started....