A Rare Differential of a Large Abdominal Swelling!
Alhad Mulkalwar, Sujay Jaju and Jignesh Gandhi
Article Type: Image Article | First Published: October 03, 2021
A 42-year-old male presented with a gradually increasing round abdominal swelling following a blunt trauma to the abdomen 2 weeks back. The swelling was about 5 cm in size when first noticed, which gradually increased to its present size of around 20 cm (Figure 1). The swelling was accompanied with mild pain and discomfort, which increased with increase in size of the swelling. Clinical examination and radiological investigations revealed a large abdominal seroma. Owing to the size of the seroma...
Cutting Monopolar Needle Electrode of Electrosurgery, a Safe Tool for Skin Incision in Neurosurgery
Krishan Kumar Sharma and Asgar Ali
Article Type: Commentary | First Published: September 30, 2021
In ancient time heat was used to treat wounds. Now a days electrosurgery unit (ESU) is an important part of operation theatre equipments utilized by almost every surgeon. Electrocautery and diathermy are the term used by many operations theatre medical and paramedical persons including surgeons for electrosurgery. They altogether are three different things. Cutting monopolar needle electrode of electrosurgery is a safe tool for skin incision in neurosurgery but hardly very few surgeons are utili...
Spontaneous Intracerebral Hemorrhage in Pediatric Patients with Hemophilia A: Case Report and Review of Perioperative Management of Clotting Factor Concentrates
Omar Akel, MBS, Blake Taylor, MD, Omar Ashraf, Fareed Jumah, MD, Bharath Raju, MD, Priyank Khandelwal, MD, Margaret Pain, MD, Stephen Johnson, MD, Anil Nanda, MD, Sudipta Roychowdhury, MD and Gaurav Gupta, MD
Article Type: Case Report and Review Article | First Published: September 26, 2021
Intracerebral hemorrhage (ICH) is the leading cause of death in patients with hemophilia. The incidence of ICH is up to 50 times greater than that of the general population, and most frequently occurs in children less than two years of age and among those with the severe forms of the disease. The ideal perioperative management of this patient population, however, remains unclear. A 9-month-old boy with a known history of hemophilia A (HA) presented to the emergency department with lethargy, anor...
Relationship between Anthropometric Indicators and Obstructive Sleep Apnea Syndrome in the Mexican Population
Alberto Labra, MD, Reyes Haro-Valencia, PhD, Montserrat Roldán-Navarro, MS, Mauricio Ruiz-Morales, MD and Francisco Sánchez-Narváez, PhD
Article Type: Original Article | First Published: September 30, 2021
Obstructive Sleep Apnea Syndrome (OSAS) is a consequence of a reduced area at the upper respiratory tract that leads to obstruction and cessation of airflow, causing oxygen desaturation and fragmentation of the sleep architecture. Between 60 and 70% of patients with OSAS are obese. We present a longitudinal, prospective, observational and analytical study. A sample of 89 patients with a polysomnographic diagnosis of OSAS was studied. The following anthropometric variables were determined: Neck C...
Validation of a Mediterranean Diet Scoring System for Intervention Based Research
Reeve EH, Picicci F and Deborah L Feairheller, PhD, FACSM
Article Type: Brief Report | First Published: September 27, 2021
A Mediterranean diet pattern is cardioprotective and positively correlated with lower chronic disease risk. Certain vulnerable populations would benefit greatly from a Mediterranean diet to reduce cardiovascular disease risk, and clinical diet intervention research typically uses diet recall questionnaires. This type of dietary tracking leads to assumptions and not an actual ability to accurately track Mediterranean diet adherence in the short-term. Thus, the purpose of this study is to test the...
Knowledge, Attitude and Practices of COVID-19 Prevention among Adults 18 Years and Above in Kintampo North Municipality, Ghana
Mukasa Kabiri, MPH, Augustine Baffoe, MPH, Samuel Adusi Poku, MPH, Emmanuel Kwaku Ofori, MSc, Kwabena Opoku Adusei, MD and Paapa Puplampu, MD
Article Type: Original Research | First Published: September 24, 2021
Novel coronavirus disease is a very infectious respiratory infection transmitted from person-to-person and manifest commonly with fever, dry cough, difficulty breathing, fatigue, myalgia and dyspnea. The World Health Organization (WHO) used the term 2019 novel coronavirus to refer to a coronavirus that affected the lower respiratory tract of patients with pneumonia in Wuhan, China on 29 December 2019. Persons with comorbidities and the aged are most vulnerable to severe disease and accounted for...
Ultrafiltration Volume: Surrogate Marker of the Extraction Ratio, Determinants, Clinical Correlates and Relationship with the Dialysis Dose
Peter Kehinde Uduagbamen, FWACP, FMCP, John Omotola Ogunkoya, FMCP, Chukwuwer Igwebuike Nwogbe, MBBS, Solomon Olubunmi Eigbe, MBBS and Oluwamayowa Ruth Timothy, MBBS
Article Type: Original Article | First Published: September 23, 2021
The ultrafiltration volume, a surrogate maker of inter-dialytic weight gain and extraction ratio plays a significant contributory role in the dialysis dose but in very large amount can lead to intradialysis hypotension and its consequences of myocardial ischemia and stunning and further diminution of kidney function. Measures are needed to prescribe the optimal quantity for each session. A thousand six hundred and eighty eight dialysis sessions for 287 participants were studied. Pre and postdial...
When is HRT the Solution?
Nancy L. Belcher, PhD., MPA
Article Type: Commentary | First Published: September 27, 2021
Menopause, and the phase that leads up to it, called perimenopause, are normal and natural events that can start anywhere between 35-55 years of age. Menopause and perimenopause are transition periods wherein the levels of estrogen, progesterone, and testosterone decrease. Replacing those lost hormones is easy with hormone replacement therapy (HRT). HRT in menopause has been proven the most effective treatment for many menopause symptoms. While there is no ‘treatment’ for menopause, there ar...
A Review on Interventions against COVID-19
Sintayehu Tsegaye Tseha
Article Type: Review Article | First Published: September 24, 2021
COVID-19 remains the main public health problem in the world. The major objective of this review is to discuss interventions that have been employed against COVID-19. The preventive and control measures that have been employed against COVID-19 include: staying at home, social and physical distancing, quarantine, washing hand with sanitizer, using face mask, immunization, timely diagnosis and treatment of the disease. In spite of its high false negative rate, real time-PCR remains the gold standa...
Exertional Rhabdomyolysis: A Case Report of an Exceptionally Elevated Serum Creatine Kinase (CK) Level
Jonathon Kyriakides, BSc, MBBS, Aria Khani, BSc, MBBS, MRCP and Rahul Khamar, BSc, MBBS
Article Type: Case Report | First Published: September 30, 2021
Serum Creatinine Kinase (CK) is used as a diagnostic and prognostic marker in rhabdomyolysis. We present 32-year-old male with exertional rhabdomyolysis following a spin cycling class, with a peak serum CK level of 332,200 U/L. He was admitted for intravenous fluid therapy and then followed-up in the outpatient setting; renal function remained stable throughout. We review the literatures and explain why a combination of patient and environmental factors are important in the pathogenesis of exert...