Fistuloclysis and Chyme Reinfusion: Novel Feeding in a Rare Case with Multiple Fistulae following Surgery
Siong Pang, Angela Vivanti, Mark Landy and Bradley Morris
Article Type: Case Report | First Published: April 07, 2022
Fistuloclysis and chyme reinfusion is a complex method of feeding that has not been widely used at our tertiary hospital. This case study of this 62-year-old male admitted with post-operative complications to our facility for consideration of surgical repair. This case study aims to describe the challenges faced by the multidisciplinary team when implementing fistuloclysis and chyme reinfusion while attempting to achieve nutritional goals and achieve positive patient outcomes. We also describe s...
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 ...
Acute Appendicitis Secondary to Kaposi’s Sarcoma: Case Report and Literature Review
Hugo E Beyuma Mora, MD, Diana L Labastida Ramírez, MD, Laura M Murguía Zamora, MD, Osvaldo I Guevara Valmaña, MD and Carlos H Flores Juárez, MD
Article Type: Case Report | First Published: March 31, 2022
Acute appendicitis secondary to gastrointestinal Kaposi sarcoma is a rare but critical manifestation of this condition. An acute abdomen in patients with HIV-AIDS can be secondary to Kaposi sarcoma with appendiceal involvement. The timely identification of other clinical manifestations of pathologies associated with immunosuppression can lead to a promptly diagnosis. Regardless of the management of the underlying pathology, the treatment of choice for acute appendicitis is surgical. Kaposi’s s...
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...