Methods This study used National Health and Nutrition Examination Survey data from 2005 to 2010 to analyze the association between fasting insulin and C-reactive protein (CRP). A two-part model was used due to the high number of values reported as 0.1 mg/L. Two models were analyzed, both with and without the addition of waist circumference to […]
Read MoreThe unprecedented nature of the COVID-19 pandemic has challenged how and whether patients with heart disease are able to safely access center-based exercise training and cardiac rehabilitation (CR). This commentary provides an experience-based overview of how one health system quickly developed and applied inclusive policies to allow patients to have safe and effective access to […]
Read MoreCase Report A 28-year-old man with no known comorbid presented in emergency department with complain of pain over left side of chest following accidental stab trauma during a religious ceremony. Physical examination showed a stab wound on left side of anterior chest wall just next to sternal border with bulging of left side of chest; […]
Read MoreFulvio Tartara,1 Elena Virginia Colombo,1 Daniele Bongetta,2 Giulia Pilloni,1,* Carlo Bortolotti,3 Davide Boeris,4 Francesco Zenga,5 Alessia Giossi,6 Alfonso Ciccone,7 Maria Sessa,6 and Marco Cenzato4 Materials and Methods We retrospectively collected 15 non-consecutive cases of ischemic stroke treated with strokectomy between March 2010 and December 2017 in two different Hospital (Ospedale Molinette Torino; Ospedale Maggiore, Cremona). The study is an historical cohort study (retrospective, purely observational, non-sponsored): […]
Read MoreAbstract The association between thyroid hormones and cardiovascular conditions has been well studied, specifically, the effects of hypothyroidism on cardiomyopathy, and hyperthyroidism with arrhythmias. Nonetheless, an explicit correlation between hyperthyroidism and cardiomyopathy has yet to be established. Medical databases MEDLINE and PubMed were accessed and queried as primary sources for data acquisition. Search criteria consisted […]
Read MoreNeerod K Jha,1Husam Z Ouda,2Javed A Khan,1Gregory P Eising,1 and Norbert Augustin1 Case presentation A 54 years-old-hypertensive male patient was presented to us with history of recent inferior wall myocardial infarction (MI) which was managed with medical treatment in the referring hospital. On clinical examination, there was a 3/6 ejection systolic murmur along the left lower sternal […]
Read MoreA 60-year-old woman presented to the oral surgery clinic with gingival swelling. She had a history of colorectal cancer, which had been diagnosed a year earlier, for which she had undergone surgery and received chemotherapy. She first noticed the mass after bleeding occurred while she was brushing her teeth. On examination, a large, nontender, pedunculated […]
Read MoreDr. Suresh M. DuganiM.Ch. FIAMS (Neurosurgery)
Read MoreAbdus Samad Ansari, Zain Amir, and Gwyn S. Williams Abstract Introduction Treatment of juvenile idiopathic arthritis (JIA)-associated uveitis necessitates the use of long-term corticosteroids or immunosuppressive agents, each of which poses their own significant side effect profile. Initial treatment requires intensive topical glucocorticoids, with a step-up approach employing immunosuppressive agents for those cases with poor […]
Read MoreDogbites are common cause of visit in the ER. Pit-bulls like in this case are the most common aggressors. Antibiotic therapy its very important since this are contaminated wounds. This patient arrived at 11pm and was rushed to the ER, for debridement and wound cleaning, the facial artery was ligated (since it had active bleeding) […]
Read MoreAbstract Cardiorenal syndrome (CRS) encompasses various disorders of the heart and kidneys; dysfunction of one organ leads to acute or chronic dysfunction of the other. It incorporates the intersection of heart-kidney interactions across several mediums, hemodynamically, through the alterations in neurohormonal markers, and increased venous and renal pressure, all of which are hallmarks of its […]
Read MoreRobert Chelsea suffered severe injuries after getting hit by a drunk driver in 2013. After months of waiting for the right donor, the first African American man to undergo a full face transplant is recovering from a successful procedure. Chelsea has led a difficult life the last few years — he was left severely disfigured […]
Read MoreAbstract Stress echocardiography (SEC) is a technique established more than 35 years ago; however, it is still poorly implemented in many countries and institutions, and this reluctance may be related to many obstacles such as operator skills, lack of awareness or institutional policy. Stress echo was initially used for assessing coronary artery disease (CAD), with […]
Read MoreCase Report A 30-year-old male victim of railway track injury was brought to the emergency department by police. He had a lacerated/partly avulsed wound over face, involving forehead, nose and left cheek, with traumatic evisceration of left eye [Figure 1]. On arrival, the patient was found to have a threatened airway in view of extensive […]
Read MoreA woman sustained severe facial injuries in a rollover automobile accident after the driver lost control of the small car, which was carrying five passengers and not equipped with airbags. The 30-year-old woman was in the back seat and not wearing a seatbelt at the time of the accident. Although one witness claimed that no […]
Read MoreA 62-year-old man with chronic obstructive pulmonary disease presented to the emergency department with a 2-day history of dyspnea and was found to have hypercapnic respiratory failure. Intubation was performed, mechanical ventilation and a continuous infusion of propofol were initiated, and the patient was admitted to the intensive care unit (ICU). Five days after admission […]
Read MoreSix weeks after premature birth, a female infant who was being treated in the neonatal intensive care unit was found to have severe abdominal distention. She had been born at 23 weeks of gestation by emergency cesarean section because of premature rupture of membranes; her weight was 520 g at birth. She had been growing […]
Read MoreCase Report This is a 16-year-old boy who experienced physical aggression in urban fight. He was assaulted by a screwdriver and had stab wound on the anterior face of the chest. He was transported from St. Louis, 192 km away, to our facility by ambulance in a stable hemodynamic status and arrived 8 hours later. Physical […]
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