Complications as Poor Prognostic Factors in Patients with Hemorrhagic Stroke: A Hospital-Based Stroke Registry
Rizaldy Taslim Pinzon and Vincent Ongko Wijaya
Article Type: Research Article | First Published: February 05, 2020
Stroke is one of the most important causes of global morbidity and mortality. In 2013, stroke was ranked second as the most common cause of death, responsible for 6.5 million deaths globally and the third most common cause of disability in the world. According to the latest world health organization (WHO) data published in 2017, stroke was the leading cause of death in Indonesia reached 332,663 or 19.79% of total deaths of the country. Stroke patients commonly experience medical complications such as pneumonia, urinary infection, decubitus, falls, deep vein thrombosis, and constipation from th...
Advanced Perineural Invasion of a Cutaneous Squamous Cell Carcinoma Involving the Supraorbital, Supratrochlear and Optic Nerves
Dharmika Tailor, James Alexander Potter and Phillip Ameerally
Article Type: Case Report | First Published: January 30, 2020
Perineural invasion (PNI) refers to the infiltration of tumour cells into the perineural space of a nerve. It is predominately associated with cutaneous squamous cell carcinomas (cSCC). While PNI has a low level of incidence, it significantly affects the prognosis leading to a poorer outcome. We report a rare case of extensive PNI from a scalp cSCC in a Caucasian gentleman. The supraorbital, supratrochlear and optic nerves were involved requiring an orbital exenteration as part of the surgical management of the cSCC. This is a unique case where a distant cSCC resulted in perineural and intrane...
The Follow-Up of Thyroid Disease in 188 Pregnant Women According to the Guidelines of ATA (American Thyroid Association) 2017
Sema Yuksekdag, Aysun Firat, Abdullah Yildiz and Ethem Unal
Article Type: Original Research | First Published: February 03, 2020
Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field. A major and substantial change in the new guidelines includes raising the upper limit in the normal thyroid function tests. For Thyroid Stimulating Hormone (TSH), the upper limit was 2.5 mU/L in the 2011 guidelines. Normal upper limit in pregnancy is raised to 4.0 mU/L in 2017 revision. In the present study, we evaluated our pregnant p...
Immature Fetiform Teratoma: An Unexpected Cause of Retroperitoneal Mass
Fernando Vazquez Rueda, Maria Rosa Ibarra Rodriguez, Francisco Javier Murcia Pascual, Sharmila Devi Ramnarine Sanchez, Sandra Rocio Wiesner Torres and Rosa Maria Paredes Esteban
Article Type: Case Report | First Published: February 06, 2020
A 5-month-old with normal prenatal checks, with a right permeable hydrocele antecedent, a non-painful and well-delimited mass, which occupied the entire right hemi abdomen, was incidentally detected. Ultrasound and abdominal CT show a retroperitoneal lesion that occupied the entire abdominal cavity, with the presence of fat bulbs and calcifications, which did not depend on any organic structure. Tumor markers were normal. Laparotomy was performed with complete exéresis of tumour. Histopathological study showed a mixed composition, being compatible with immature fetiform teratoma. Favorable ev...
Uterine Rupture Following Misoprostol Induction of Labour at 36 Weeks Gestation in an Unscarred Uterus
Ansong G, Sebuabe SA and Afrani AK
Article Type: Case Report | First Published: January 30, 2020
Case report of a 33-year-old G5P3+1SA diagnosed with an intrauterine foetal death at 36 weeks gestation and induction of labour started with 400 ug of misoprostol vaginally, which was complicated by a uterine rupture with subsequent referral and management in our facility. Intra-operative findings during laparotomy revealed uterine rupture with a macerated still birth intra-abdominally and moderate hemoperitoneum. Uterine rupture in an unscarred uterus following unsuccessful induction is an adverse effect that needs to be monitored and also requiring high index of suspicion to be diagnosed. A ...
Bechet or Not, that is the Question?
Adnan N Kiani, Monthida Fangtham, Wilmer Sibbitt, Roderick Fields and Nicole S Emil
Article Type: Brief Report | First Published: January 30, 2020
A 20-year-old female with recurrent childhood ear infections, and reported history of recurrent oral, genital ulcerations and UTIs, presented as transfer from outside hospital with concern for Behcet syndrome. The patient initially had a 3-4-month history of fever, oral and genital ulcerations and worsening respiratory symptoms. She was initially treated at urgent care with antivirals and nitrofurantoin. She was later admitted to an outside hospital with worsening of aforementioned symptoms and respiratory failure, briefly in ICU for worsening respiratory status. She was treated with Zosyn and...
Potential Clinical Consequences of Medication Process Problems in Older Home Care Patients
Nienke E Dijkstra, MSc, Carolien GM Sino, PhD, Marieke J Schuurmans, PhD, Marcel L Bouvy, PhD, Aline Bouwes, PhD and Eibert R Heerdink, PhD
Article Type: Research Article | First Published: February 03, 2020
Home care professionals regularly observe drug-related problems during home care provision. Problems related to the process of the medication therapy could involve discrepancies in medication prescriptions between the hospital discharge letter and the medication administration record lists (MARL) or insufficient drug delivery. The objective of this study is to determine the potential clinical consequences of medication process problems observed by home care professionals, since those consequences have not been assessed before....
Prevention of Frailty in the Elderly through Physical Activity and Nutrition
Brunilda Elezi, Erjona Abazaj, Marsida Kasa and Skender Topi
Article Type: Research Article | First Published: January 27, 2020
Frailty is considered often as a physical impairment in the elderly and its characteristics are weakness, weight loss, exhaustion, a decrease of the physical activity accumulating also comorbidity. It is considered the geriatric syndrome related to the aging process, declining of biological reserve that results in an increase of vulnerability for negative results including disability, hospitalization, and death. Frailty was defined as “a state of increased vulnerability on the stress factors due to the decline of the neuromuscular, metabolic, physiologic reserve and immune systems....
Albumin, Important Therapy & When to Use It in Ten Patients (Adult & Child): Case Report
Nathasia and Sukmawati Tansil Tan
Article Type: Case Report | First Published: February 03, 2020
Toxic epidermal necrolysis (TEN) is a life-threatening drug reaction that requires immediate medical treatment. Mortality due to TEN cases is quite high until now and the main cause reported is multiple organ dysfunction syndrome. A 7-year-old child, was diagnosed TEN with 86% blistered skin, after receiving Metampiron. Given 20% albumin 50 ml from the first day treated until 20 days, also fluid resucitation, steroids, antibiotics, vitamin C, neurobion, paracetamol, antihistamines, oral hygiene, steroid and antibiotic ointment for body, eye ointment, woundcare, and high nutritions....
Pre-Twin Screen - A Multi-Disciplinary Approach for a Personalized Prenatal Diagnostics and Care for Twin Pregnancies
Hamutal Meiri, Nadav Kugler, Ran Svirsky, Oliver Kagan, Richard Nicolas Brown, Piere Miron, Antoni Borrell, Anna Gonce, Mar Bennasar, Annegret Geipel, Brigitte Strizek, Argyro Syngeleki, Kypros Nicolaides, Howard Cuckle and Ron Maymon
Article Type: Research Article | First Published: January 30, 2020
The prevalence of twin pregnancies is rising globally due to increased assisted conception and advanced maternal age in pregnancy. Twin pregnancies have 5-9 times higher frequencies of fetal chromosomal and structural abnormalities, often deliver preterm, and have high prevalence of gestational diabetes mellitus (GDM), preeclampsia (PE), and intrauterine growth restriction (IUGR) compared to singletons. Twins have special complications such as twins-to twin transfusion syndrome in mono chorionic (MC) twins. Consequently, more twins are born prematurely, suffer from low birth weight, cerebral p...