Angiographic Pattern of Coronary Artery Disease in Diabetic Patients Having Abnormal Ankle Brachial Index
Syed Haseeb Raza Naqvi, MBBS, FCPS, Han Naung Tun, MBBS, MD, Abdul Razzaq, MBBS, FCPS, Zubair Zaffar, MBBS, FCPS, Syed Nauman Ali, MBBS, FCPS, Haroon Babar, MBBS, FCPS and Tariq Abbas, MBBS, FCPS, FRCP
Article Type: Research Article | First Published: August 09, 2019
A total of 115 patients were included in the study. The mean age of patients was 62.40 years with standard deviation of 2.78 years. Majority of the patients in the study were male (68.7%). Mean ABI was of study participants was 1.2 with standard deviation of 0.58 while mean duration of disease was 3.2 years with standard deviation of 0.7 years. 97 of the study participants were hypertensive and 18 were smokers. A total of 28 patients (24.3%) did not have CAD as per angiography while the rest had 1 vessel disease (33.4%), 2 vessel disease (29.5%), and 3 vessel disease (20.9%). Stratification of...
The Impact of Transcatheter Aortıc Valve Implantatıon on Neutrophıl to Lymphocyte Ratıo: A Retrospective Study
Abdulmecit Afsin, MD, Veysi Kavalcı, MD, Zeynep Ulutas, MD, Hakan Kaya, MD, Erdal Akturk, Arif Suner and Necip Ermis
Article Type: Original Article | First Published: August 03, 2019
Transcatheter aortic valve implantation (TAVI) has become a novel therapeutic option for patients with severe aortic stenosis who have been considered inoperable or high risk for conventional surgical aortic valve replacement. The aim of this study was to determine the effect of TAVI on neutrophil to lymphocyte ratio (NLR). A total of 97 patients with severe aortic valve stenosis undergoing TAVI in our clinic were included in the study. The patients were divided into two groups based on valve type; patients with CoreValve bioprosthesis (n = 56) and patients with Edwards SAPIEN-XT bioprosthesi...
Chronotherapy for the Treatment of Hypertension among Patients with Obstructive Sleep Apnea: A Systematic Review
Magdalena Deaton, MPH, MSN, RN, AGNP-C, Jeanne Ruff, MPH, BSN, RN and Lisa Boss, PhD, RN, CNS, CEN, CNE
Article Type: Research Article | First Published: July 26, 2019
Hypertension (HTN) and obstructive sleep apnea (OSA) are associated with increased risk for adverse cardiovascular events. Comorbid HTN with OSA is often resistant to pharmacologic treatment. Chronotherapy, the timing of treatment based on circadian rhythms, may prove to be a valuable, cost-effective tool for improving blood pressure (BP) control among those with OSA. This Systematic Review appraises the existing literature regarding morning (a.m.) vs. evening (p.m.) administration of antihypertensives among this population. ...
Five Fruit and Vegetable a Day Does Not Reflect the Upward Trend of Obesity in the U.S.
Yilin Yoshida, Chester L Schmaltz, Jeannette Jackson-Thompson, Adam Bouras, Esmaeel Rahmani and Eduardo J Simoes
Article Type: Original Research | First Published: July 27, 2019
After almost three decades of U.S. surveillance in fruit and vegetable (F&V) intake and obesity, it is important to evaluate their usefulness for monitoring prevention and health promotion efforts in public health. We used U.S. surveillance data to evaluate whether the 16-year trends of F&V intake, measured by the prevalence of eating five or more servings of fruits and vegetables a day (FV5/day) is related to obesity trend as measured by its prevalence in the same period. We also evaluated whether trends in the prevalence of FV5/day by important sociodemographic factors (age, race/ethnicity, ...
A Minus That Makes the Difference
Vitale G, Vitale S, Pierini P and Visconti CL
Article Type: Research Article | First Published: June 28, 2019
Acute Coronary Syndromes include a wide variety of clinical scenarios. Coronary Angiography (CA) is a low-resolution imaging technique and its inability to provide a satisfactory tissue characterization of culprit lesions could be a concern in some cases. Optical Coherence Tomography (OCT) is an emergent intravascular high-resolution imaging modality which could be complementary to CA in challenging cases. We report a case of a young man in whom OCT had been determinant to understand the pathology of culprit lesion and to formulate a tailored therapy. ...
A Case Report of an Epiphrenic Esophageal Diverticulum was Treated via Laparoscopic Transhiatal Diverticulectomy
Kusay Ayoub, Bashar Banjah and Bassel Banjah
Article Type: Case Report | First Published: July 31, 2019
Epiphrenic diverticulum is a relatively rare clinical case. It is defined as an outpouching of the mucosal and submucosal layers through the muscular layer of esophagus in association with motility disorders. Most patients are asymptomatic and the other manifest with variable symptoms including dysphagia, regurgitation, halitosis, vomiting, heartburn and weight loss. Herein we report a case of a 50-year-old female who presented to our hospital with complaint of dysphagia and weight loss. The clinical and radiological findings suggested left epiphrenic diverticulum about 3 cm in diameter. ...
Intestinal Obstruction Secondary to Intra-Luminal Retained Laparotomy Towel: A Case Report
Joseph Yorke, Roland Williams Awoonor, George Ansong, Bernard Hammond, Edward Amoah Boateng, Frank Gyamfi, Francis Somiah-Kwaw Aitpillah, Kwabena Acheamfour Ababio, Dorcas Ahulu, Dennis Afful Yorke and Emmanuel Acheampong
Article Type: Case Report | First Published: July 29, 2019
Retained surgical sponges (gossypiboma) are very rare but occur even under the presumed correct sponge counts postoperatively. Gossypiboma has the ability to cause significant harm to the patient and carry heartfelt medicolegal and professional repercussions to clinicians and hospitals. Its mani-festations may be non-specific and may take weeks, months or even years from the time of surgery. Therefore, diagnosis is based on a high index of suspicion with careful assessment of the patient's history, physical examination, and investigation. Retained sponges may extrude externally through a fistu...
Effects of Different Methods of Resistance Training on Indicators of Daily Physical Fitness in Physically Active Elderly Women
Ilmar Danilo Santos Lima, Antonio Gomes de Resende-Neto, Jose Carlos Aragao-Santos, Albernon Costa Nogueira, Alan Bruno Silva Vasconcelos, Bruna Caroline Oliveira Andrade, Iohanna Gilnara Santos Fernandes and Marzo Edir Da Silva-Grigoletto
Article Type: Research Article | First Published: July 29, 2019
Aging is an intrinsic process of the human being linked to functional deteriorations in several systems, affecting the quality of life due to the inability to perform the simple tasks of the day to day in an autonomous, efficient and safe way. In addition, the female sex is also considered an independent risk factor for functional capacity decline. When compared to men, women are more affected by senescence due to hormonal changes associated with menopause that intensify muscle weakness and increases the risk of mortality....
Adenomatoid Tumor in the Fallopian Tube - A Rare Case
Geetika Goyal, Syed Abbas, Arati Inamdaar and Abraham Loo
Article Type: Case Report | First Published: July 27, 2019
Adenomatoid tumors are benign tumors of mesothelial origin seen in female genitourinary tract, most commonly involving the uterus and rarely fallopian tubes. We herein report a case of 46-year-old female who presented with abnormal vaginal bleeding with complex cyst in left adnexa and multiple leiomyomata upon pelvic imaging. Hysterectomy and bilateral salpingectomy were done. A circumscribed red-tan nodule, measuring 3.0 cm in maximum dimensions was identified on the left fallopian tube with a solid, homogenous yellow-tan cut surface. The histopathological examination revealed features of ade...