Open Access DOI:10.23937/2469-5793/1510162
Itchy Rash Worsened by Topical Steroids: The Role of Primary Care Physicians in Preventing Tinea Incognito
Morgan A Hammack, BA, Talia Noorily, MD and Ida Orengo, MD
Article Type: Case Report | First Published: 2024/05/24
Tinea corporis is a common pruritic rash that is frequently seen by family medicine physicians. Tinea incognito is an exacerbation of a dermatophyte infection due to topical corticosteroid use that is commonly prescribed to alleviate pruritis. We present a case of a 73-year-old male with an itchy rash on his chest worsened by previously prescribed topical corticosteroids, with skin scrapings consistent with tinea incognito. We herein review clinical features, diagnostic techniques, and proper tr...
Open Access DOI:10.23937/2469-5793/1510160
Compliance to International Guidelines and Rational Use of Antibiotics in Urinary Tract Infections in a Country without National Guidance: A Cross-Sectional Study
Joe El Khoury, MD, MPH, Nadine Saleh, PharmD, PhD, Nathalie Lahoud, PharmD, PhD, Patrick Maison, MD, PhD and Mira Hleyhel, PharmD, PhD
Article Type: Original Research | First Published: 2024/05/03
Urinary Tract Infections (UTI) are among the most common bacterial infections, and appropriate antimicrobial therapy with agents that minimize resistance is crucial. Despite international concern, adherence to guidelines is still suboptimal. This study aims to determine the effect of the absence of national guidelines and the rate of conformity to international guidelines among physicians in antibiotic prescriptions for the treatment of UTIs in adults; and detect the factors that are associated ...
Open Access DOI:10.23937/2469-5793/1510159
Benign Prostatic Hyperplasia: Personalizing Medical Management
Gary N. Elsasser, Pharm.D, BCPS, Michael Greene, MD, FAAFP, NaureenB Rafiq, MD, FAAFP and Ravneet Kaur, MD
Article Type: Review Article | First Published: 2023/12/7
Benign prostatic hyperplasia (BPH) is a prevalent condition among elderly men, impacting their quality of life. Traditional treatments primarily targeted bladder outlet obstruction (BOO) through alpha-blockers and 5-alpha reductase inhibitors. Recent additions, such as muscarinic receptor antagonists and phosphodiesterase-5 inhibitor (PDE-5I) tadalafil, provide more options. The 2021 American Urological Association (AUA) guidelines emphasize individualized management. ...
Open Access DOI:10.23937/2469-5793/1510153
Perceptions, Gym Participation, and Motivators for Physical Activity in Older Ontario Males
M Felicia Cavallini, Abigail Tredway and David J Dyck
Article Type: Original Research | First Published: March 25, 2023
Sedentary behavior increases the risk of high blood pressure, obesity, and of particular concern in the elderly, a loss of muscle mass and decline in cognitive performance. Numerous risk factors are predictive of mortality rates in the elderly, including lack of moderate or vigorous exercise. The purpose of this study was to examine the perceptions of physical activity and exercise, participation and perceptions of traditional gyms, as well as motivators to be physically active in older males (6...
Open Access DOI:10.23937/2469-5793/1510152
Anti-NMDA-Receptor Encephalitis: Case Report and Literature Review of a Frequently Misdiagnosed Condition
Anthony Daniels and Marshall Weber
Article Type: Case Report | First Published: December 01, 2022
Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a potentially fatal autoimmune syndrome in which IgG antibodies target the NR1 subunit of the NMDA receptor resulting in profound dysregulation and neurotransmission. Since its discovery in 2005, the illness is becoming more widely recognized. Despite this uptick in recognition, few cases are published in journals pertinent to primary care providers. Patients typically present with acute behavioral disturbances and psychosis, which ...
Open Access DOI:10.23937/2469-5793/1510150
Challenges Imposed by Online-Based Learning on Acquiring Clinical Knowledge and Skills
Firdous Jahan, Mohammed Al Azri, Arwa Hilal Salim Al Azri, Laila Alwahaibi and Muhammad Siddiqui
Article Type: Research Article | First Published: October 02, 2022
Medical students in clinical years are supposed to be independent, self-directed learner to motivate in depth learning. In response to COVID-19, medical education faculty have quickly transitioned to online formats that include COVID-19 crisis. The main purpose of this study was to assess the experience of clinical years’ students with online-based learning during the COVID19 pandemic....
Open Access DOI:10.23937/2469-5793/1510147
Pharmacists as Members of the Multidisciplinary Care Team
Jacob Reyes, PharmD
Article Type: Letter to Editor | First Published: May 18, 2022
The article by González-Ballesteros, et al. demonstrated improved diabetes control utilizing a multidisciplinary team. Although the results were positive, it would have been ideal to include a clinical pharmacist in the therapy program as well. Several publications illustrate that clinical pharmacists significantly benefit patient care, particularly in diabetes management. Clinical pharmacists are an important member of the care team. This was reiterated in an article by Halalau, et al. where a...
Open Access DOI:10.23937/2469-5793/1510146
Addressing HIV Drug Shortage in Kenya: A Crucial Action
Oladunni Amos Abimbola, Olajide Edward Olorunfemi, Alaka Hassan Olayemi, Odususi Oluwatomisin Dara, Haruna Usman Abubakar, Bamidele Opeyemi Olufunso and Jackson Safari Kilonzo
Article Type: Commentary | First Published: April 24, 2022
HIV/AIDS is one of the major public health concerns worldwide. The African region is the most affected worldwide, with Kenya being the joint sixth largest epidemic in the region. Kenya’s health system is characterized by donor reliance and donor concentration. As a result, key national strategic programs including HIV program are significantly funded by foreign aid. While the challenge of insufficient internal funding has relatively being cushioned by external support, Kenya’s transition fro...
Open Access DOI:10.23937/2469-5793/1510145
Patients' Satisfaction with Health Care Services in Selected Secondary Health Care Facilities in Ondo State, Nigeria
Oyebola Helen Babatola, MSc, Rabiu O. Popoola, PhD, Matthew Idowu Olatubi, MSc and Folasade Rukayat Adewoyin, MSc
Article Type: Original Article | First Published: April 07, 2022
This study assessed patient’s satisfaction with health care services, and identifies factors associated with the satisfaction of patients in selected health care facilities in Ondo State. Descriptive cross-sectional research design was utilized in three selected hospitals in Ondo State. Multistage random sampling was used to recruits 121 patients from three hospitals. Structured Questionnaire whose validity and reliability was established was used for data collection. Data were analyzed using ...
Open Access DOI:10.23937/2469-5793/1510144
Neurological Localisation in Clinical Practice
Roy G Beran
Article Type: Research Article | First Published: March 16, 2022
Neurological localisation is dependent on history and physical examination and demands that the clinician is aware of those features, encompassed within the clinical setting, that define the neuroanatomy and neurophysiology that defines the focus of any neurological lesion. The paper to follow provides an approach to the neurological evaluation of patients that employs the traditional methods of history, stylised physical examination, incorporating: Higher centres; cranial nerves; and peripheral...
