Open Access DOI:10.23937/2474-3658/1510298
Invasive Diseases Due to Fatal Staphylococcus caprae Infection: A Case Series and Literature Review
Antonio Mastroianni, MD, Sonia Greco, MD, Valeria Vangeli, MD, Maria Vittoria Mauro, MD and Roberto Manfredi, MD
Article Type: Case Series | First Published: March 31, 2023
We report a case series of fatal invasive diseases due to Staphylococcus caprae. We describe the first cases of S. caprae sepsis in two italian patients. In the first patient there was also evidence of the fourth case reported in the English language literature of mitral endocarditis. We also discuss the main features of differential diagnosis on the basis of a literature review....
Open Access DOI:10.23937/2474-1353/1510148
Trends and Patterns of Maternal Deaths in Sierra Leone, January 2017-December 2020
Kadijatu Nabie Kamara, Z.J. Bah, A. Elduma, J.S. Squire, Joseph Sam Kanu and G. Gebru
Article Type: Original Article | First Published: April 14, 2023
Sierra Leone is a country with an extremely high maternal mortality ratio (MMR) with over 1000 maternal deaths per 100,000 live births. We analyzed data from the national maternal death surveillance and response system to describe the trend and determine the burden of maternal deaths in Sierra Leone....
Open Access DOI:10.23937/2378-3397/1410149
Rigler Triad in Gallstone Ileus: Case Report and Literature Review
Hugo E Beyuma Mora, MD, Alejandro S Iturbide Aguirre, MD, Dulce C López Graciano, MD and Uriel H Quiroz Díaz, MD
Article Type: Case Report | First Published: March 31, 2023
Gallstone ileus is an uncommon complication of calculous cholecystitis, which can lead to a gastro-intestinal obstruction. A non-specific clinical presentation is frequent. Imaging studies can present characteristic radiological signs. We present a 56-year-old female patient with constipation for the past 72 hours, colicky intermittent abdominal pain and vomiting. Plain CT-scan showed Rigler's triad. Gallstone ileus was diagnosed and laparotomy was performed with stone extraction by enterolitoto...
Open Access DOI:10.23937/2469-5718/1510249
Noninvasive Management of a Large Morel-Lavallée Lesion
LT George Michael Johnson DO, LCDR Kevin Michael Bernstein MD, MMS, CAQSM, FAAFP
Article Type: Case report | First Published: April 12, 2023
A 38-year-old with ankylosing spondylitis presented to a sports medicine clinic following a traumatic cycling accident. Physical exam found pain, swelling and ecchymosis overlying the proximal thigh. Point of care ultrasound revealed an underlying large hematoma causing a closed degloving of the overlying tissue or a Morel-Lavallée lesions. MRI confirmed size of the lesion and diagnosis made previously. ...
Open Access DOI:10.23937/2469-5718/1510247
Exercise Prescription for Hypertension
Thomas Wesley Allen DO, MPH
Article Type: COMMENTARY | First Published: April 05, 2023
The importance of physical exercise in preventing, treating and controlling hypertension has been the subject of enormous attention during the past several decades. Nearly one third of American adults have been diagnosed with high blood pressure and millions more have pre-hypertension. Cardiorespiratory fitness (CRF) has an important non-pharmacologic role in hypertension treatment and prevention, yet one in three Americans does not engage in leisure-time physical activity....
Open Access DOI:10.23937/2378-3516/1410186
Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique
Luan Rodrigues da Silva, Ana Paula Felix Arantes, Fernando Guimarães Cruvinel and Renato Canevari Dutra da Silva
Article Type: Research Article | First Published: March 31, 2023
Manual hyperinflation is one of the most used respiratory physiotherapy techniques in critically ill patients and consists of administering a higher volume of gaseous fluid than the patient performed using a self-inflating balloon (AMBU). This technique was developed with the objective of removing bronchial secretion and re-expansion of atelectasis lung areas, thus improving pulmonary compliance and oxygenation in mechanically ventilated patients....
Open Access DOI:10.23937/2469-5769/1510114
Study of Auditory Function Changes in Patients with Down Syndrome
Zoya Ismail Nezha, MD, Youssef Youssef and Yaser Ali
Article Type: Cross-sectional Study | First Published: April 12, 2023
The study involved 30 patients with Down syndrome between 3-18 years-old who had visited ENT clinic in Tishreen University Hospital (TUH) during the period from June 2021 to June 2022. A detailed history was taken, a comprehensive examination of the ear, nose and throat, and auditory tests were taken in each patient case, and the results of these tests were recorded for all patients....
Open Access DOI:10.23937/2469-5807/1510143
Aggressive Angiomyxoma (AAM) at an Uncommon Site: Case Report
Reena VK, Umashankar T and Jayaprakash CS
Article Type: Case Report | First Published: April 03, 2023
Aggressive angiomyxoma are rare myxoid soft tissue neoplasms, affecting the pelvis and the perineum, rarely encountered in extragenital sites, with a marked preponderance for females in the reproductive age group. AAMs are thought to be benign, locally infiltrative and non-metastasizing. Here is case report of AAM located in the posterior chest wall....
Open Access DOI:10.23937/2643-3885/1710082
Three-Dimensional Patient-Specific Cut Guides for Correction of Charcot Midfoot Deformities
Amar R Gulati, DPM, Lance Johnson, DPM and Peter D Highlander, MS, DPM
Article Type: Technique Guide | First Published: April 05, 2023
Charcot arthropathy of the foot and ankle is a challenging pathology that can require intensive surgical reconstruction. Most often the pathology involves breakdown of the midfoot. Osteotomies of the midfoot to resect and correct the deformity can be unpredictable and time-consuming. With the advent of 3D printing, we propose a new technique utilizing custom cut-guides for midfoot osteotomies in Charcot reconstruction. This provides a reproducible, accurate and pre-planned direction for reconstr...