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Showing posts with the label Emergency Medicine

Management of Upper Airway Bleeding in Patients Hospitalized for SARS-COV2| Stephy Publishers

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  SOJ Complementary and Emergency Medicine - (SOJCEM) | Stephy Publishers Abstract Spontaneous epistaxis in patients with COVID-19 can represent a clinical challenge with respect to both the risk of contamination and the treatment options. Epistaxis (nosebleed) is a common condition overall but is relatively rare in adults and older patients. We herein present the data of 25 patients with COVID-19 who developed spontaneous epistaxis while hospitalized at Centro Médico Naval from March 2020 to April 2021. All patients received low-molecular-weight heparin during their hospital stay and required supplementary oxygen therapy either by a nasal cannula, continuous positive airway pressure or ventilatory mechanical support. In total, 12100 patients with laboratory confirmed SARS-CoV-2 infection were admitted to our hospital unit from 1 March to 31 April 2021. We only found 25 patients with epistaxis, All patients underwent anterior rhinoscopy. In all patients, the bleeding site wa...

Cardiovascular Disease Patient Prevention Experience with Nurses in the Primary Care Sector| Stephy Publishers

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  SOJ Complementary and Emergency Medicine - (SOJCEM)| Stephy Publishers Abstract Introduction:  Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide. Aim:  The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting. Methods:  In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis. Results:  In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital sig...

Ultrasonically Detected Subpleural Lung Consolidations in The Emergency Room: A Case Report| Stephy Publishers

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  SOJ Complementary and Emergency Medicine - (SOJCEM)| Stephy publishers Abstract We report the clinical case of a 76- year-old patient who was admitted to the emergency department due to respiratory distress. He had a history of Systemic arterial hypertension, type 2 diabetes mellitus and hypothyroidism. The patient reports symptoms that began three days prior to admission, including dyspnea, fever, myalgia, arthralgia, headache and respiratory distress that was exacerbated 1 day prior to admission. Physical examination revealed a conscious patient with the following vital signs: blood pressure 120/62mmHg, heart rate 109bpm, respiratory rate 28rpm, temperature 38.8°C, arterial oxygen saturation 76%, dyspnea, use of accessory muscles, tachycardia, tachypnea, which met the operational definition for Covid-19. Upon admission to the service, a pulmonary ultrasound was performed in which subpleural consolidations were identified, predominantly in the right hemithorax, as well as an air...

Cardiovascular Disease Patient Prevention Experience with Nurses in the Primary Care Sector| Stephy Publishers

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  SOJ Complementary and Emergency Medicine - (SOJCEM) | Stephy Publishers Abstract Introduction:   Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide. Aim:   The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting. Methods:   In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis. Results:  In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital ...

Palate Obturators in the Phono-Articular System in Defects Caused by Nasal T / NK Cell Lymphoma | Stephy Publishers

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  Internal and Emergency Medicine | Stephy Publishers Abstract: Lymphomas are frequent malignant neoplasms, due to the destructive and rapidity of their clinical course, they present extensive areas of necrosis, which could be induced by the Epstein Bar virus (EBV) that is present in most of these lymphomas causing oro-nasal communications that they have an impact on phonation, chewing, swallowing and loss of self-esteem. Due to the extension of this type of communication, they represent a challenge in surgical rehabilitation opting for a prosthetic device.      Introduction Lymphomas are a group of neoplasms originating in the immune system, whose cells are widely distributed and have an extensive functional range. In the head and neck region there is a high incidence of nasal type T / NK cell lymphomas associated with the Epstein Var virus (EBV) showing a similar pattern of strain type distribution between neoplastic tissues and reactive processes. EBV may infect ...