Medical Chest Drain Insertion-Considerations for a Pleural Service
Ying Tung Liu, MBChB, FRACP, Zi Wei Goh, MBChB, FRACP and Lutz Beckert, MD, FRACP
Article Type: Research Article | First Published: April 11, 2022
To review local chest drain insertions, the indications, use of fibrinolytics, and the success rate of talc pleurodesis in a tertiary hospital in New Zealand. This is an observational study of all patients requiring chest drain insertion in the respiratory unit in Christchurch Hospital from January 2015 to December 2016. We analysed patient characteristics, type of drain inserted, and the nature of pleural fluid. We report the success of fibrinolytic therapy for empyema and pleurodesis for malig...
Free Testosterone Levels in Patients with Covid-19 and its Association with Disease Severity
Jesus Alan Guardado Vindiola, MD, Gisel Viviana Licon Martinez, MD, Marina Estrada-Rodriguez, Katya Lorena Wilhelmy-Ledesma, Joaquin Córdova Erberk, Álvaro Lozano Castañeda, Miguel Angel Gaxiola-García, MD, MSc and Hiram Javier Jaramillo-Ramírez, MD
Article Type: Research Article | First Published: April 11, 2022
The TMPRSS2 protein is an entry pathway for SARS-CoV-2, its expression is up-regulated by testosterone. Men have 7 to 8 times higher serum testosterone than women. We propose that patients hospitalized with COVID-19, with higher levels of testosterone, have worse outcomes than those with lower levels. A prospective, observational analysis of patients over 18-years-old with COVID-19 admitted to the internal medicine department in Mexicali’s General Hospital from January to April 2021. 49 patien...
Yellow Nail Syndrome: When Management Seems More Intriguing Than the Diagnosis
Konstantinos Porpodis, Ioanna Filippou, Ioanna Tsiouprou and Theodore Kontakiotis
Article Type: Case Series | First Published: April 08, 2022
Yellow nail syndrome is a rare condition of unknown etiology, which is defined by the triad of yellow, slowly growing thickened nails, lymphedema, and respiratory manifestations. In order to strengthen the literature on this topic, we report the case of a 64-year-old man with yellow nail syndrome and recurrent pleural effusion. The patient was referred to the Emergency Department because of dry cough and gradually worsening dyspnea over the previous two months. A diagnosis of yellow nail syndrom...
Evaluation of Pathological Parameters of Two-Year Bladder Urothelial Carcinomas in Association with Literature
Mürüvvet Akçay Çelik, MD and Yeliz Kaşko Arıcı
Article Type: Research Article | First Published: April 21, 2022
In this study, it was aimed to evaluate the pathological parameters in cases with bladder urothelial carcinoma diagnosed in our department, and to investigate the relationship between the cases in the literature and age, gender correlation. In our Faculty of Medicine, Department of Pathology, 68 bladder biopsy cases diagnosed with urothelial carcinoma between 2018-2019 were included in the study. The pathology reports of the cases were evaluated retrospectively. According to the one-way chi-squa...
Lung Abscess as a Complication of SARS-CoV-2 Infection Associated with Mucormycosis in a Romanian Patient
Maria Sajin, Florina Almarii, MD, Iona Eliza Gaianu and George Simion
Article Type: Case Report | First Published: April 08, 2022
Formation of lung abscesses after Covid-19 is a newly emerging complication and superimposed mucormycosis infection is quite rare. We report the case of 62-years-old male who developed a lung abscess after being infected with SARS-COV-2. Because of the unresponsiveness to pharmacological treatment and ongoing lung damage, surgical approach was required. This is the case of a 62-years-old patient who was transferred to our hospital for the management of a non-resolving lung abscess. He was treate...
Skin Barrier Changes in T1DM and T2DM
Priyanka Prabhakar Poonja, MBBS, MSc
Article Type: Review Article | First Published: April 15, 2022
Cutaneous manifestations of diabetes mellitus (DM) are a group of skin disorders that characteristically arise from prolonged chronic hyperglycemia and impaired insulin signaling or insulin resistance. There are several skin diabetic pathologies associated with the two main types of diabetestype 1 (T1DM) and type 2 diabetes (T2DM), which tend to negatively impact the patients quality of life. The literature reveals variations in the skin barrier changes between the two DM types, and this may pro...
Treatment of Cancer Patients in the Era of the Covid-19 Pandemic
Budi Tulaka, Harlinda Haroen, Linda Wilhelma Ancella Rotty, Pearla Fidei Cindy Lasut and Cecilia Hendratta
Article Type: Research Article | First Published: April 18, 2022
Coronavirus Disease 2019 (COVID-19) is an outbreak of respiratory disease caused by novel coronavirus and has reached pandemic state. Cancer patients have increase susceptibility to infection caused by the malignancy itself and anticancer systemic therapy. Based on individual patient assessment, the oncologist's decision regarding the need for immediate oncological intervention classifies patients into 'urgent' and 'non-urgent' conditions. Consideration of risk and benefit for active interventio...
Enlarged Left Ventricular Diastolic Dimension does not Predict Irreversible Left Ventricular Systolic Function in Patients with Atrial Arrhythmia
Hisao Matsuda, Yui Nakayama, Airi Noda, Toru Nakanishi, Dan Koto, Mizuho Kasahara, Takayuki Warisawa, Kei Mizukoshi, Makoto Takano, Koichi Mizuno, Akira Kasagawa, Tarou Suchi, Daisuke Togashi, Ikutarou Nakajima, Kenichi Sasaki, Hidekazu Miyazaki, Toshiyuki Furukawa, Tomoo Harada and Yoshihiro J Akashi
Article Type: Original Article | First Published: April 20, 2022
Atrial arrhythmia (AA) and left ventricular systolic dysfunction (LVSD) frequently co-exist, and potentially represent growing public health problems. Determining whether tachycardia is an indicator or consequence of LVSD in patients with tachycardia and LVSD is difficult. Tachycardia-mediated cardiomyopathy (TCM) raises a “chicken or egg” question. Regardless of the etiology, patients with severe LVSD are considered candidates for the implantation of a cardioverter defibrillator as primary ...
Language Processing in Arabic Diglossia: Evidence for Memory-Based Automaticity
Article Type: Original Research | First Published: April 14, 2022
Diglossia in Arabic refers to the existence of two distinct varieties: Spoken Arabic (SA), which is used orally in daily communication, and literary Arabic (LA), used in reading, writing, and for formal functions. Similarly, bilinguals often use different languages (L1, L2) for different purposes, so the question presents itself: Is Arabic diglossia a type of bilingualism? Because behavioral and fMRI studies provide contradictory answers, the current paper develops a cognitive account grounded i...
Incidence and Risk factors of Postoperative Nausea and Vomiting after ENT Surgery
Petros K Yosief, Ghirmay G Beraki, Susanna Mayer, Michael B Mengistu and Eyasu H Tesfamariam
Article Type: Research Article | First Published: March 31, 2022
Ear Nose Throat (ENT) surgery has been the highest risk of postoperative nausea and vomiting. Despite the advancement of the modern anesthetic techniques in the management and understanding of postoperative nausea and vomiting (PONV), the events of nausea and vomiting in ENT surgery still remains a major problem for participants in the postoperative care unit. Therefore, the aim of this study was to determine the incidence and identify the risk factors of PONV among surgical ENT participants in ...