A Culturally Competent Patient Care: A Review of the CLAS Standards
Annalee A. Mora
Article Type: Review Article | First Published: May 16, 2022
Multiculturism is rapidly growing. It affects all aspects of society, including healthcare. A culturally competent healthcare system has a critical impact on meeting the needs of the diverse population that it serves. The national Culturally and Linguistic Approach Services (CLAS) standards have been developed and implemented as a tool to improve the quality of care, potentially transforming how we address disparities in healthcare. Motivated by a nationalized concern about societal impartiality...
Using the Mobilization of Vulnerable Elders Protocol to Improve Elderly Patient Outcomes in Pennsylvania: A Quasi- Experimental Project
Gabriel Beam, DNP, RN, Kimberly Gorman, DNP, AG-ACNP-BC, CNL, CCRN, CNRN, TCRN, Bobbie Sue Kist, PT, DPT, Hollie Giles, MOT, OTR/L, Katie Kiser, BSN, RN and Russel Dumire, MD, FACS
Article Type: Research Article | First Published: May 12, 2022
Immobility during hospitalization may lead to poor patient outcomes including extended length of stay (LOS). The practice site experienced extended LOS in elderly patients and lacked a nurse-led multidisciplinary mobility program to optimize the mobility of patients aged 65 and older. The purpose of this quality-improvement project was to determine if the Mobilization of Vulnerable Elders (MOVE) protocol improved length of stay (LOS) and mobility among older adult patients. Quantitative, quasi-e...
An Investigative Report on the Neuro-Optometric Manifestation of SARS-CoV-2 (Covid-19): A Case Report
Prashan Seepersad, Jan Bohringer, O.D, Ph.D and Kingsley K. Ekemiri, O.D, MPH
Article Type: Case Report | First Published: April 29, 2022
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection continues to prevail as the deadliest epidemic of the 21st century and an unprecedented global crisis. Global statistics as of July 2021 revealed that, more than 196 million people worldwide have been infected and more than 4.19 million people have succumbed to the SARS-CoV-2. In Trinidad and Tobago there has been approximately 38,000 confirmed Covid-19 cases in which 1,056 resulted in death; with no study being done on preva...
Meningosarcoma in The Infratemporal Fossa: An Unusual Presentation
Guido GABRIELE, Flavia CASCINO, Linda LATINI and Biagio Roberto CARANGELO
Article Type: Case Report | First Published: April 30, 2022
Meningosarcoma represent a rare disease with an uncertain prognosis. Moreover, localization of tumours in the infratemporal fossa is rare. Lack of associated symptomatology of infratemporal fossa’s lesions could result in a diagnosis and treatment delay. Also, surgical management of infratemporal fossa neoplasm remain challenging. The authors present the case of a meningosarcoma extended to the infratemporal fossa, which presented in an advanced stage and required other treatment further than ...
Two Stage Surgical Resection of a Retrochiasmatic Craniopharyngioma: A Case Study
Kaitlin I McArthur, BS, Ethan Miles, BS, Hector Perez, MD and Kenneth De Los Reyes, MD
Article Type: Case Report | First Published: May 11, 2022
Here we report on a rare case of a retrochiasmic craniopharyngioma that required a two stage surgical resection to achieve near total resection. The pterionalorbital approach was chosen for initial resection, given the small size of the sinus corridor on imaging, but due to fear of damaging local structures complete resection was not achieved. The patient returned to the operating room 12 days following the first surgery for a combined neurosurgeryotolaryngology approach for endonasal endoscopic...
An Accuracy-Based Approach to the Microbiologic Diagnosis of Pulmonary Infection: Part III
John Ferguson, MD, MPH, Cyprien Jungels, DO and Michael Gailey, DO
Article Type: Original Research | First Published: May 12, 2022
Similar to that of bacterial infection as described in Part 1 and fungal infection described in Part 2, the performance of diagnostic tests for viral pneumonia and parasitic pneumonia are not well described. We undertook a literature search to assess the accuracy of diagnostic tests for pneumonia, identified through a search of MEDLINE-indexed journals. Sensitivity and specificity of diagnostic tests for pneumonia were calculated with respect to various reference standards. A battery of diagnost...
Emergence of Marburg Virus Disease in West Africa amid COVID-19 and Ebola: Efforts, Challenges, and Recommendations to Prevent the Next Public Health Crisis
Jannel A Lawrence, BSc, Muhammad Haseeb Ul Rasool, MBBS, Charmy Parikh, MBBS, Selia Chowdhury, MBBS, Alexandra Sueldo, BSc, Sarosh Sarwar, MBBS, Arpit Mago, Pawan Kumar Thada, MBBS and Mona Skeikh, MD
Article Type: Review Article | First Published: April 30, 2022
Marburg virus disease (MVD) is a type of hemorrhagic fever caused by a genetically unique animal-borne RNA virus of the filovirus family-like Ebola virus. The African fruit bat is the known reservoir of this virus, and due to its animal-to-animal, animal-to-human, and human-to-human transmission patterns, it is capable of rapid spread. The history of previous MVD outbreaks shows that this can be highly fatal, and the fatality rate can reach up to 90%. Most MVD outbreaks have been in Africa and c...
Acute Bell’s Palsy: A Neurological Manifestation of the Severe Acute Respiratory Syndrome (SARS-CoV-2)
Cameron YS Lee, DMD, MD, PHD, MPH, MSEd
Article Type: Case Report | First Published: April 30, 2022
The COVID-19 pandemic caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection affects multiple organ systems with varied clinical presentation. The most frequently reported signs and symptoms associated with COVID-19 infection involve the cardiovascular and respiratory systems and include fever, cough, and shortness of breath. However, clinicians should be aware that neurological manifestations could be the only clinical sign and symptom reported by patients infected...
A Review of Clinical Trials about Vitamin D Supplementation’s Effect on Physical Performance of Community Dwelling Oldest- Olds
Raoana Cássia Paixão Chaves, Regiane Aparecida dos Santos Albuquerque, Vanessa Amarante Carvalho and Maysa Seabra Cendoroglo
Article Type: Case Series | First Published: May 11, 2022
Although observational studies with community dwelling older adults demonstrate that low serum 25(OH)D (vitD) negatively impacts on the health, the effects of its supplementation are still controversial. The aim of this study is to review clinical trials that evaluated the effect of vitD supplementation on physical performance in community dwelling oldest old. A comprehensive search on electronic databases, including Pubmed, Medline, LILACS and Scielo was conducted. Eligible studies were clinica...
Ambulatory Blood Pressure Monitoring in Children with Solitary Kidney
Kanjaporn Sirisomboonlarp, Ankanee Chanakul and Tawatchai Deekajorndech
Article Type: Original Article | First Published: May 11, 2022
Children with a solitary kidney are at risk of developing hypertension due to decreased nephron number with a consequence of hyperfiltration of the remnant. In patients with high-risk conditions, ambulatory blood pressure monitoring (ABPM), which records blood pressure (BP) for 24 hours, is helpful in detecting hypertension. To investigate the prevalence of hypertension in children with solitary kidney using 24-h ABPM and comparing with the office blood pressure (OBP). Twenty-three patients age...