Volume 5 Issue 1

2020-05-19 Case Report

Case reports of observed significant improvement in patients with ARDS due to COVID-19 and maximum ventilatory support after inhalation of sodium bicarbonate

The emergence of COVID-19 worldwide in an unprecedented pandemic. COVID-19 has a significant mortality, mostly from acute lung injury. We reviewed the available literature from China and Europe in regard to the behavior of SARS-Cov2 and ability to adhere to the cell wall [1,2]. The evidence based literature describes three component for the virus to grant entry to the target cells including Cathepsin B/L (the viral cap protein needed for initial connectivity to the cell wall), the angiotensin converting enzyme 2 and a low PH environment to allow the first connectivity of the virus to the cell wall [3]. The goal of our Case study was to prevent SARS- SARS-Cov2 from entering target cells by raising the airways PH using sodium bicarbonate inhalation. The sodium Bicarbonate inhalation (4.2% concentration) has been used safely in Cystic fibrosis (CF) patients with inspissated mucoid impaction [3,4] and in chloride inhalation toxicity by opposing the effect of the low PH induced by the insulting agent [4,5]. It has not been administered for COVID -19 patients particularly prior to this study.

Abstract Read Full Article HTML DOI: 10.29328/journal.jcicm.1001029 Cite this Article

2020-05-12 Research Article

DSM algorithm to determine the decentralized bases of the SAMU natal through the use of simulation

Abstract

The growth of the urban population exerts considerable pressure on municipalities’ public managers to focus their attention on providing emergency medical care that meets the growing demand for emergency pre-hospital medical care. It is estimated that, by 2050, urban areas should have a population of 6.29 billion people, equivalent to 69% of the world’s total population. Currently, there are a significant number of traffic accidents and other serious occurrences, such as heart attacks, drownings, fires and disasters (floods, landslides, earthquakes) that demand a prompt and seamless response from pre-hospital medical care. In Brazil in the year of 2014 there were 43,075 traffic-related deaths and in 2016 62,517 homicides occurred. As a result of such scenario, the present article endeavours to apply a dual-coverage mathematical model (DSM-Double Standard Model) to define the optimal location of the SAMU decentralized dispatch bases in Natal / RN and conduct a simulation study to evaluate the displacement of ambulances between such bases. The results obtained throughout the research demonstrated the feasibility of redefining the decentralized bases of SAMU/Natal ambulances as a strategy to reduce response time and guarantee compliance with performance parameters established by international organizations (the World Health Organization, for instance, establishes the time of 8 minutes for emergency medical service calls response). The simulation study showed a significant reduction in response time, by up to 60% in some cases.

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2020-03-12 Research Article

Prevalence of premarital sexual practice and associated factors among Goba town high school students, South East-Ethiopia

Abstract

Background: Premarital sexual practice significantly attributes for increase adolescent’s risk of unintended pregnancy, early marriage, abortion and STIs. In Ethiopia adolescents were intended to engage at early initiation to sexual intercourse without having proper protection has been one of the concerns. Study aimed to assess the prevalence of premarital sexual practice and associated factors among high school students.

Method: A facilities based study design was employed. Data were collected from 291 randomly selected Negade and Finca Bamo high school students using structured questionnaire from June 1-30, 2018. Bi-variate logistic regression used to identify variables that crudely associated and variables with p - value < = 0.05 fitted to multiple logistic regression. Odds ratio with 95% confidence interval was estimated using multivariable logistic regression to identify independent predictors of premarital sex.

Result: Among high school students, 31.2% reported had experienced premarital sexual practices. This shows that premarital sexual practices among high school adolescent’s students were high. Drinking alcohol [AOR = 4.06, 95%CI, (2.06 - 7.99)]. Watching pornographic video [AOR: 2.78, 95%CI, (1.45 - 5.3)] and educational status of mothers [AOR: 0.33; 95% CI (0.13, -0.84)] were significantly associated factors.

Conclusion: Drinking alcohol, watching pornography and mother education were predominantly significantly associated. Therefore, an integrated effort needs to be highlighted to deter the health behavioral problems of school adolescents at the early stages.

Abstract Read Full Article HTML DOI: 10.29328/journal.jcicm.1001027 Cite this Article

Recent Articles

2020-05-12 Research Article

DSM algorithm to determine the decentralized bases of the SAMU natal through the use of simulation

Eric Lucas dos Santos Cabral, Wilkson Ricardo Silva Castro, Davidson Rogério de Medeiros Florentino, João Florêncio da Costa Jr., Talita Dias Chagas Frazão, Claudia Aparecida Cavalheiro Francisco, Ricardo Pires de Souza, Amália Cinthia Meneses Rêgo, Irami Araújo Filho* and Marco Antônio Leandro Cabral

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2019-12-12 Case Report

Embolic Septic Emboli with MRSA: A different source

Christian Castillo Latorre*, Mariela Rivera Agosto, Ilean Lamboy Hernandez, Mariana Mercader Perez, Dominic Sanchez Paredes, Marisol Santiago Irizarry, Jose Gutierrez Nuñez Onix, Cantres Fonseca, Alfonso Torres Palacios and William Rodriguez Cintron

Abstract Read Full Article HTML DOI: 10.29328/journal.jcicm.1001026 Citation

2019-08-22 Review Article

Management of Ischemic Stroke during cardiac catheterization: A case report and review of literature

Naoufal Chouaib*, Said Jidane, Mounir Lekhlit, Ahmed Belkouch, Tahir Nebhani, Saad Zidouh and Lahcen Belyamani

Abstract Read Full Article HTML DOI: 10.29328/journal.jcicm.1001024 Citation