Open Access DOI:10.23937/2643-461X/1710071

Examining the Challenges Affecting the Application of Innovative Simulation-Based Teaching and Learning among Teaching Staff in Selected Kenya Medical Training College Campuses Offering Medical Laboratory Sciences in Kenya

Muia Prominah Kavinya, Joyce Lugulu and Priscah Mosol

Article Type: Research Article | First Published: 2023/05/28

Simulation is a teaching learning and assessment strategy used in medical education to prepare medical laboratory students for clinical practice. Simulation-based learning is aimed at bridging the gap between theory and practice through the use of innovative teaching strategies and thus it is considered the best alternative teaching, learning and assessment tool in preparing medical laboratory students for practical and professional life....

 Open Access DOI:10.23937/2469-5769/1510115

Factors Associated with Neonatal Mortality at Kyeshero Hospital, Goma, North Kivu, DRC

Endanda Zawadi E, Tshivwadi Tshilomb A, Tongota Ntwali J, Mulangu Mutombo A, Imani Musimwa P, Buhoro Baabo G, Mumbere Hangi S, Kyembwa Mwindulwa L, Musafiri Mugisho A, Kabamba Nzaji M and Luboya Numbi Oscar

Article Type: Research Article | First Published: 2023/06/09

The neonatal mortality rate is still a significant public health problem in Sub-Saharan African countries and an indicator of the quality of prenatal and perinatal care. This study aimed to determine the neonatal intra-hospital neonatal mortality rate and the maternal and neonatal risk factors associated with neonatal mortality in Kyeshero Hospital....

 Open Access DOI:10.23937/2643-4016/1710033

The Impact of Vertebroplasty on Sagittal Parameters in Traumatic Thoracic Vertebral Fractures

Kemal Paksoy, MD

Article Type: Research Article | First Published: 2023/05/14

Fourteen patients with the injury score > 4, based on the thoracolumbar injury classification score (TLICS), and with type A fractures, based on the AO Spine thoracolumbar injury classification score (TLAOSIS), were included in the study. Scoliosis radiographs were shot preoperatively and at 1st, 6th, and 12th months during the postoperative period, and measurements were performed using the software of Surgimap (Nemaris, Inc)....

 Open Access DOI:10.23937/2643-3966/1710055

Emergent TAV-in-TAV Following Acute Hemolytic Anemia Secondary to Undersized Transcatheter Heart Valve Prosthesis

Agata Sularz, MB BChir MA(Cantab.), Hashrul Rashid, MBBS(Hons), PhD, Jane Hancock, MB ChBPhD, Nikolaos Papamichael, MD, PhD, Bernard Prendergast, BMBS, DM, Simon Redwood, MBBS, MD and Tiffany Patterson, MBBS, BSc, PhD

Article Type: Case Report | First Published: 2023/05/13

Paravalvular leak (PVL) driven intravascular hemolysis (IVH) is a recognized complication of surgical aortic valve replacement. This has been described less following transcatheter aortic valve implantation (TAV). We present a case of a patient with severe life-threatening hemolytic anemia following TAV, requiring multiple blood transfusions, and emergent TAV-in-TAV procedure....

 Open Access DOI:10.23937/2643-4563/1710052

Dose Variation Profiles of Small Fields with a 10 MV Photon Beam

Caio Fernando Teixeira Portela and Arnaldo Prata MourĂ£o

Article Type: Original Article | First Published: 2023/05/20

Radiotherapy is a treatment of carcinogenic tumors using ionising radiation and the improvement of radiotherapy techniques has been conducted to protection of healthy tissues. Recent implementations have employed static fields with small dimensions. The interests for this work were small fields, used in modern techniques such as Stereotactic Radiation Therapy (SRS) and Intensity Modulated Radiation Therapy (IMRT). These fields have special characteristics that refer to the non-establishment of t...

 Open Access DOI:10.23937/2378-3001/1410122

Predicting CGRP-Antagonists Response Based on the Phenotypic Features of Migraine Headaches, a Retrospective Study

Awss Zidan, MD, Anindita Rajasekaran, Bsc, Gary Brooks, PhD and Ioana Medrea, MD, MSc

Article Type: Original Article | First Published: 2023/05/31

The presence of autonomic symptoms in migraine headaches may predict lack of response to CGRP-MABs. This study is limited by the small sample size. However, it is biologically plausible that presence of autonomic features is predictive of a decreased response to CGRP MABs as migraine patients with autonomic symptoms have higher levels of VIP correlated to this, and not CGRP(3). Our study raises the possibility that migraines with autonomic features may be at least in part VIP driven. ...

 Open Access DOI:10.23937/2643-3885/1710084

In Situ Subtalar Arthrodesis: A Systematic Review

Matthew Siebert, MD, Matthew Philippi, MD, Jesse Steadman, BS, Neil Bakshi, MD, Christopher Arena, MD and Charles Saltzman, MD

Article Type: Systematic Review | First Published: 2023/06/04

A systematic literature review of three major medical databases (PubMed, Scopus, and Embase) was performed following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The literature was searched for studies in which subtalar arthrodesis was used to treat subtalar pathology from inception to December 1, 2020. The quality of research was assessed using a modified Coleman Methodology Score....

 Open Access DOI:10.23937/2469-5696/1410091

Wernicke's Encephalopathy: A Rare but Avoidable Neurological Complication Associated with Allogeneic Stem Cell Transplant

Sujay Rainchwar, Reema Singh, Pritish Chandra Patra, Rohan Halder, Narendra Agrawal, Dinesh Bhurani and Rayaz Ahmed

Article Type: Original Article | First Published: 2023/06/16

Wernicke's encephalopathy is a metabolic disorder caused by thiamine deficiency, and is characterized by acute mental confusion, ophthalmoplegia and ataxia. Its due to nutritional deficiency arising from prolonged illness affecting nutrition of the patient or requiring parenteral nutrition for prolonged duration, debilitating chronic illnesses like solid organ and lymphoid malignancies. It has been commonly seen chronic alcoholics who have poor oral intake....

 Open Access DOI:10.23937/2377-4630/1410160

The Unusual Migration of Right Subclavian Vein Triple Lumen Venous Catheter into Left Subclavian Vein: A Rare Presentation

Parul Raina, MD, Monica Yadav, MD and Abhishek Singh, MD

Article Type: Letter to Editor | First Published: 2023/06/10

Central venous catheter placement is associated with known risks and complications [1]. Its proper placement is necessary for long-term use. However, their mispositioning is not uncommon. But mispositioning of the catheter tip into the contralateral subclavian vein is extremely rare. After obtaining the informed written consent, we present an image of a 48-year-old female who presented to emergency with traumatic right above elbow amputation and blunt chest trauma. ...

 Open Access DOI:10.23937/2377-4630/1410159

Impact of mHealth on Informed Consent for General Anaesthesia in a Low to Middle-Income Country: A Double-Blind Randomized Control Trial

Sakina Bhaloo, MBChB, Vitalis Mung'ayi, MBChB, MMed, Wangari-Waweru Siika, MBChB, MMed, David Nekyon, MBChB, MMed and Jasmit Shah, MBChB, MMed

Article Type: Review Article | First Published: 2023/06/05

To establish whether patients who access a mobile health (mHealth) application following a pre-anaesthesia review have better knowledge of the anaesthetic process and higher satisfaction overall than those who receive a patient information leaflet....