Open Access DOI:10.23937/2643-4512/1710091
Bridging the Gap to Health Care Access: The Role of the Nurse Practitioner
Kimberly Taylor
Article Type: Research Article | First Published: 2023/06/18
The goal of this article review is to explore the role of Nurse Practitioners (NP) in closing the gap to health care access for underserved communities. It will address their role as clinical provider, educator, and advocate for programs to improve community outcomes. Nurse Practitioners through additional education and professional training are licensed to provide health care directly to patients. As an educator, Nurse Practitioner spend hours of educating patients on treatment plans, medicatio...
Open Access DOI:10.23937/2643-4512/1710090
Examining the Intersection of Seva and Public Health Policy
Pragat Patel
Article Type: Research Article | First Published: 2023/06/14
In today's globalized and multifaceted world, policymakers are faced with the challenge of crafting policies that cater to the diverse needs of different communities. One approach that has shown promise in achieving this goal is the Hindu concept of seva or selfless service. Seva involves the selfless act of serving others without any expectation of reward or recognition. Rather, the motivation is behind serving God through serving humanity. This principle has deep roots in Hindu culture and has...
Open Access DOI:10.23937/2643-4512/1710089
Reimagining Health Policy through the Lens of Vedanta
Pragat Patel
Article Type: Research Article | First Published: 2023/06/07
The philosophical system of Vedanta has had a profound influence on Hindu thought and practice, and we can explore its relevance in shaping contemporary health policy. As one of the six orthodox schools of Hindu philosophy, Vedanta is based on the teachings of the Upanishads, which explore fundamental questions about the nature of reality and the self. By examining key concepts and principles from Vedanta philosophy, this ancient wisdom can offer valuable insights into the limitations....
Open Access DOI:10.23937/2643-4016/1710034
Complete Rupture of the Insertional Tendon of Biceps Brachii: What We Know
Luke Nugent
Article Type: Review Article | First Published: 2023/06/09
Ruptures of the distal biceps tendon present surgeons with a complex set of potential management options, and significant variation in practice exists. This review aims to succinctly collate the current evidence with regards to epidemiology, diagnosis, and management, in order to allow clinicians to inform themselves as to how best to deal with this increasingly frequently encountered phenomenon....
Open Access DOI:10.23937/2378-3656/1410428
Two Abnormal Presentations of Celiac Disease in Obese, Premenopausal Women
Rachel Pray, BS and Sanjiv Amin, DO
Article Type: Case Report | First Published: 2023/05/31
Celiac Disease is a malabsorptive disorder of the small intestine that often presents with diarrhea as the most common symptom. Confirmatory diagnostic testing includes endoscopy, serologic testing, and biopsy of the small intestine. These two cases of Celiac Disease are unique because two women, mid-thirties and medically obese, presented with non-classic symptoms of CD. Patient A complained of recurrent upper abdominal discomfort and pain, while Patient B complained of persistent daily symptom...
Open Access DOI:10.23937/2378-3656/1410427
Polyarticulark Arthritis in a 17-Year-Old Boy: Poncet's Disease or a Masquerader?
Adwoa Afrakoma Agyei-Nkansah, Louis Adoko Enchill, Shaibu Ibrahim, Jane Afriyie-Mensah and Alfred Doku
Article Type: Case Report | First Published: 2023/05/31
Poncet's disease is a rare form of reactive arthritis described in people with active Tuberculosis (TB). We report a case of Poncet's disease in a 17-year-old boy who posed a diagnostic challenge because of the presence of purulent effusion from affected joints. His arthritis preceded pulmonary symptoms which were in fact mild and largely subclinical. Clinical remission occurred within 10 days of anti-Tuberculous therapy and the diagnosis of Poncet's disease was established....
Open Access DOI:10.23937/2378-3656/1410426
Hepatosplenic Melioidosis: A Common Misdiagnosed Entity
Lalkrishna U, Ramu M, Gaurav Khatana, Sandesh K, Saji Sebastian and Deni Joseph
Article Type: Case Report | First Published: 2023/05/31
Burkholderia pseudomallei is a commonly misdiagnosed pathogen. It can cause clinical features like pneumoniae, septicaemia, arthritis, abscess etc. Cases have been mainly reported from Southeast Asia. In India, few cases have been reported from the southern part of the country. Our patient was a 53-year-old diabetic, who presented with low grade fever, right hypochondrial pain, weight loss, for 2 months. Treated at local hospitals with various antibiotics, on further evaluation the patient was d...
Open Access DOI:10.23937/2474-3682/1510219
Fibrolamellar Hepatocellular Carcinoma
Scott Mu, MD, MHS, William Spataro, MD and Ravi Chokshi, MD, MPH
Article Type: Clinical Image | First Published: 2023/06/18
He denied previous alcohol or tobacco use, and his serum alpha fetoprotein level was normal at 3.8 ng/mL. Computed tomography (CT) imaging of his abdomen and pelvis demonstrated a 10.4 cm mass in the right liver with heterogeneous areas of mixed high and low attenuation (Figure 1A)....
Open Access DOI:10.23937/2474-3682/1510218
Large Thoracoabdominal Pancreatic Pseudocyst in a COVID-19 Patient
Bhargav Kansara, BS and Harshna V Vadvala, MD
Article Type: Essential Images | First Published: 2023/06/16
A 38-year-old female with a history of pancreatitis presented with breathing difficulties and tested positive for COVID-19. A CT of her chest, abdomen and pelvis with contrast showed a 8.5 × 13.1 × 25.4 cm (AP × ML × CC) multilobulated abdominal cyst extending into the posterior mediastinum with bilateral pleural effusion (Figure 1A). CT scan MipPR reconstruction showed the relation of the pseudocyst with abdominal and thoracic vessels (Figure 1B). ...