Parenting an Autistic Child: A Qualitative Study
Aysel Topan, PhD, MSc, RN, Serap Demirel, MSc, RN, Isin Alkan, MSc, RN, Tulay Kuzlu Ayyildiz, PhD, MSc, RN and Sevda Dogru, MSc, RN
Article Type: original Research | First Published: September 26, 2019
To determine feelings and thoughts of parents with autistic children. This qualitative study consisted of 20 parents. 'Personal Information Form' and semi-constituted 'Guide Interview Form' with qualitative face-to-face technique were used. Thematic analysis method was used for analyses. The mean age of children was 10.80 ± 4.30 (3-16 year-olds). Expressions of parents were grouped under the following main themes: Feelings of parents when they learnt about the disease, how this condition affected the life quality of parents, problems of parents about childcare, and concerns of parents r...
Isolated Avulsion Fracture Lesser Tuberosity of the Humerus, a Rare Presentation Post Seizure
Jaya TS, Hadizie D and TMS Muzaffar
Article Type: Case Report | First Published: September 18, 2019
Isolated humeral lesser tuberosity fracture is rare and is usually associated with fractures of the proximal humerus. Trauma precedes most reported cases. We report a isolated fractured lesser tuberosity occurring in a gentleman post seizure. Open reduction and internal fixation was performed. Functional outcome was successful, and the patient regained his normal pain-free shoulder function 3 months surgery. Avulsion Fracture Lesser Tuberosity of The Humerus is a rare injury that usually occurs in association with fractures involving two or three parts of the proximal humerus or in associatio...
Successful Non-Operative Management of Multi-Trauma Patient Suffering from Multiple Intra-Abdominal Injuries - A Case Report
Georgios Theodoros Liagkos, MD, Christos Chouliaras, MD, Aris Papadopoulos, MD and Constantine Vagianos, MD
Article Type: Case Report | First Published: September 14, 2019
Trauma represents the main cause of death among people under the age of 35 worldwide. Until the 90s, the operative management (OM) was the golden standard of treatment for trauma patients with abdominal bleeding. Over the last few decades, though, a shift has been made from operative to non-operative management (NOM) in haemodynamically stable trauma patients with findings of recent intra-abdominal bleeding and no signs of peritonitis. However, NOM may be particularly challenging in patients with multi-abdominal organ injuries since evaluation and total treatment may be exceptionally difficult...
Tension Pneumocephalus Causing Cerebral Venous Sinus Thrombosis
Nissar Shaikh, Gulzar Hussain, Adnan Khan, Muhammad Mohsin Khan, Mamdouh Al Mustafa, Moad Ehfeda, Muhammad Zubair and Umais Momin
Article Type: Case Report | First Published: September 13, 2019
A 38-year-old Asian male had craniotomy with excision of a left frontal mass which extended into the lateral ventricles. External ventricular and subdural drains were inserted at the end of the procedure. He received mannitol and furosemide intraoperatively. Immediately after surgery he developed tension pneumocephalus, diabetes insipidus and fever. Two days after surgery, magnetic resonance imaging (MRI) showed transverse, sagittal sinus thrombosis extending into the right internal jugular vein. Pre-operative MRI and thrombophilia markers were unremarkable. Cerebrospinal fluid (CSF) analysis ...
Toxicity Evaluation of Cellulose Nanofibers (Cnfs) for Cosmetic Industry Application
Soo Min Kim, Eun Ji Gwak, Seung Hwan Jeong, Sang Mock Lee, Woo Jong Sim and Jin Sik Kim
Article Type: Original Article | First Published: September 16, 2019
The two main types of nanocelluloses are cellulose nanofibers (CNF) and cellulose nanocrystals (CNC). Both CNFs and CNCs are nanoscale cellulose fibers that have shown reinforcing effects in polymer nanocomposites. CNCs and CNFs are different in shape, size and composition. Cellulose nanofiber (CNF) is produced by mechanical treatment with or without enzymatic or chemical pre-treatment. The material consists of long and thin fibers which form a three-dimensional network. It has high viscosity and high water holding capacity....
Spontaneous Skin Lesions: The Importance of Differential Diagnosis
Montilla Alvaro Mabel, Delgado Vidarte Ana and Alcantara Luna Sara
Article Type: Case Report | First Published: September 19, 2019
Dermatofitosis are cutaneous infections caused by fungus. They affect the keratinized surface layers epidermis, hair and nails. We report a case of a 42-year-old female patient who presented with erythematous annular lesions with a raised edge on the chest, back, neck, hands and arms. These lesions were compatible with erythema multiforme, subacute lupus and/or ringworm infection. The biopsy of lesions was done and the study showed the structures suggestive of fungi in hematoxylin-eosin staining. They were confirmed by PAS staining, starting antifungal treatment for 4 weeks with complete resol...
The Prevalence of Frailty and Its Association with Adverse Drug Reactions in Hospitalized Older Adults
Selina Cheong Tingting, Goh Wen Yang, Ong Eng Hui, Siti Nurhana Abdul Karim, See Lin Li and Edward Chong Kah Chun
Article Type: Research Article | First Published: September 18, 2019
The complex interplay between altered pharmacokinetics and pharmacodynamics, greater multimorbidity and polypharmacy, are associated with increased risk of adverse drug reactions (ADR) in older adults. There remains a paucity of data on the association between frailty and ADRs. We aimed to determine the association between frailty and the prevalence, presentation and severity of ADRs among hospitalized older adults. This was a retrospective, cross-sectional study in an acute care hospital in Singapore. The first 150 older adults admitted from emergency department or outpatient clinic under Ger...
A Novel Dual-Task Balance Challenge to Prevent Falls in Older Adults: A Randomized Pilot Study
Ruth E Taylor-Piliae, PhD, RN, FAHA, Chiu-Hsieh (Paul) Hsu, PhD, Hanne Dolan, MSN, RN, PhD Student, Nima Toosizadeh, PhD and Jane Mohler, NP-C, MPH, PhD4
Article Type: Research Article | First Published: September 16, 2019
A Matter of Balance (MOB) is a national community-based fall prevention program focusing on cognitive restructuring to manage concerns about falling, though does not include a balance-training component. A dual-task balance challenge (DTBC) comprising weight transfer using fixed and random ordering of ankle-reaching balance tasks was added to MOB, to determine of this would lead to reduced fall risk. The study aims were to assess acceptance, satisfaction, safety and adherence to the interventions, examine changes in fall risk, and monitor incident falls for 3-months post-intervention. A singl...
Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report
Jung-Ting Lin, Chin-Kai Huang, Lan-Yin Huang, Pei-Ying Wu and Yu-Fang Huang
Article Type: Research Article | First Published: September 12, 2019
Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fusion and involuntary urine loss were observed in the patient. Uniquely, she had a sequence of differe...
The Effect of Music Listening on Anxiety and Pain in Chronically and Terminally Ill Patients
Kalen Hendra, MD, Catherine Sims, MD and Soheir Boshra, MD
Article Type: Research Article | First Published: September 11, 2019
Numerous studies have shown that music therapy (MT) and music listening (ML) can improve patient symptoms such as anxiety, pain, and relaxation. To investigate the effect of multiple ML sessions and the association between patient expectations and outcomes, patients were recruited from two nursing and rehabilitation centers in Roanoke, Virginia. Patients received three 30-minute ML sessions (experimental) or no intervention (control). Patient data included the Edmonton Symptom Assessment System (ESAS), vitals, and an expectations questionnaire. No difference was observed between the experiment...