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Jun 05, 2025Open    Access

Early Recognition of Parkinson’s Disease in Emergency Medicine: Commentary on an Unrealized Opportunity for Improved Care and Research in Movement Disorders

Sopiko Jimsheleishvili,Jordan Shlain,Dustin W. Ballard,Timothy F. Platts-Mills,Stephanie Barnett,Suneil Agrawal,Vanessa A. Bender,Matthew R. Lewin
Despite Parkinson’s Disease (PD) typically being diagnosed after 80% of dopaminergic neurons are lost, evidence suggests that many patients exhibit early symptoms and frequently utilize emergency department (ED) services years before formal diagnosis. Here we examine the untapped potential of EDs in early PD recognition and intervention. Analysis of nearly 14,000 PD patients from two major healthcare systems revealed that 74% visited the ED or urgent care in the two years preceding diagnosis, ye...
Open Access Library J.   Vol.12, 2025
Doi:10.4236/oalib.1112890


Nov 15, 2024Open    Access

Clinical Management of Diabetic Ketoacidosis in Pregnancy: A Review of Current Literature

Noël Niyondiko
Background: Diabetic ketoacidosis (DKA) in pregnancy is a life-threatening condition for both the mother and the fetus. This condition is often associated with type 1 diabetes, but it can also complicate type 2 diabetes and rarely complicates gestational diabetes. DKA in pregnancy often occurs in the 3rd trimester of pregnancy and its prevalence is worryingly increasing. Timely diagnosis and appropriate management of DKA are crucial to decreasing the maternal-fetal complications...
Open Access Library J.   Vol.11, 2024
Doi:10.4236/oalib.1112246


Jun 28, 2024Open    Access

Association between Multimorbidity and Quality of Life among Adults Attending Outpatient Clinics in the Ashanti Region: A Cross-Sectional Study

Jane Acquaye,Joseph Kwasi Brenyah,Isaac Asenso Brobbey-Kyei,Emmanuel Brobbey-Kyei
Multimorbidity, the coexistence of two or more chronic conditions in an individual, is increasingly prevalent worldwide, posing significant challenges for healthcare systems and patient well-being. This cross-sectional study aims to investigate the association between multimorbidity and quality of life (QoL) among adults attending outpatient clinics in health facilities within the Ashanti Region of Ghana. Method: A sample of n = 400 participants were recruited using convenience ...
Open Access Library J.   Vol.11, 2024
Doi:10.4236/oalib.1111604


Apr 28, 2023Open    Access

Respiratory Distress Revealing Takayasu’s Disease: Case Report

Kaouthar Zerouati, Maria Rkain, Abdeladim Babakhoya
Takayasu’s arteritis is a chronic inflammatory, autoimmune, granulomatous disease of the aorta and its major branches, at their origin, resulting in dilatation, occlusion, stenosis and/or aneurysm formation of these arteries. The disease usually begins in adulthood but pediatric involvement is very rare and the diagnosis is late. We report the case of a 13-year-old child admitted for respiratory distress, whose detailed clinical examination and CT angiography confirmed the diagnosis.
Open Access Library J.   Vol.10, 2023
Doi:10.4236/oalib.1110019


Mar 14, 2023Open    Access

Respiratory Distress in the Newborn: Experience of Pediatric Emergency Department

Kaoutar Danaoui, Widad Lahmini, Mounir Bourrous
The transition from fetal life to extrauterine life is accompanied by significant changes involving a need for adaptation. This leads to the admission of a large number of newborns in neonatal units. Currently, there is an increasing incidence of respiratory distress in all newborns admitted to Pediatric Emergency Departments. Through an analytical and descriptive retrospective study, carried out in the Pediatric Emergency department of the University Hospital Mohammed VI of Marrakesh, including...
Open Access Library J.   Vol.10, 2023
Doi:10.4236/oalib.1109855


Jul 30, 2022Open    Access

Hepatitis B Vaccination Coverage and Its Predictors among Health Workers in Fako Division, South West Region of Cameroon

Serge Ngekeng, Alain Chichom-Mefire, Peter Fon Nde, Nicholas Tendongfor, Emmanuel Kah Nji, Esembeson Malika, Simeon P. Choukem
Introduction: The occupational risk of hepatitis B among health care workers (HCWs) has been long known. Despite a WHO recommendation for hepatitis B vaccine for all HCWs, coverage in Cameroon remains very low. This study investigates the hepatitis B vaccination coverage and its predictors among HCWs in Cameroon and evaluates their perceptions concerning the disease. Methods: A cross-sectional study was carried out where structured questionnaires were used to obtain data from HCWs in 24 differen...
Open Access Library J.   Vol.9, 2022
Doi:10.4236/oalib.1108985


Jan 25, 2022Open    Access

A Lesson Learned from a Rare Case of Missing Guide Wire

Ng Kwang How, Anwar Irawan Ruhani
Central venous catheterization via the Seldinger technique is a minimally invasive procedure which is increasingly and widely performed. It is associated with immediate and delayed complications which might cause significant morbidity and mortality. The retained guidewire is a rare, potentially serious but completely avoidable complication. We reported a 74-year-old gentleman who presented with upper gastrointestinal bleeding and was successfully resuscitated. Central venous catheterization was ...
Open Access Library J.   Vol.9, 2022
Doi:10.4236/oalib.1108334


Jan 20, 2021Open    Access

Outcomes and Relevant Factors Associated with Cardiac Dysfunction in Patients with Traumatic Brain Injury

Yingrui Zhang, Hongxuan Zhang, Jun Li, Jianxiang Zhao, Han Chen, Jingqing Xu, Xiuling Shang, Rongguo Yu
Purpose: Cardiac dysfunction has been rarely reported in patients with traumatic brain injury (TBI). The study aimed to compare clinical outcomes in patients admitted in intensive care unit (ICU) with normal cardiac function versus cardiac dysfunction after TBI. Moreover, the association of risk factors and hospital mortality ICU or hospital length of stay was investigated. Methods: A retrospective study was conducted from December 2011 to April 2018 on TBI patients admitted without pre-existing...
Open Access Library J.   Vol.8, 2021
Doi:10.4236/oalib.1107071


Jan 13, 2020Open    Access

Antihypertensive Effects of Total Gastrectomy on Spontaneous Hypertensive Rats

Naoki Hashimoto
Backgrounds: Total gastrectomy (TG) played an important role in DM im-provement after curative surgery for gastric cancer (W J Surgery 2014, 58, 451-0458). The aim of the present study was to establish the effects of TG on weight loss and cardiovascular (CV) parameters in spontaneous hypertensive rats (SHR). Methods: Male SHR rats were used in the present studies. Rats were randomly assigned to either total gastrectomy (TG) or sha
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Open Access Library J.   Vol.7, 2020
Doi:10.4236/oalib.1105994


Dec 27, 2019Open    Access

High Blood Pressure and Stroke in the City of Lubumbashi: Determinants and Socio-Demographic Characteristics, Case of the Rail Ways Company Hospital

Luhanga mulumbati Onesiphore, Ilunga Kandolo Simon, Kabamba wa Kabamba Christian, Sumba Chenge Louis, Kabyla Ilunga Benjamin, Kashindi Numbi Clément
Introduction: We conducted a cross-sectional study to describe the epide-miological and sociodemographic situation of stroke and high blood pres-sure at the Lubumbashi rail ways company hospital. Methodology: Our cross-sectional analytical study is spread over a period of one year, from January 1st to December 31st, 2018. The study population is the one having suffered from high blood pressure and stroke at the Lubumbashi railways
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Open Access Library J.   Vol.6, 2019
Doi:10.4236/oalib.1105985


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