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Stent Thrombosis
The most dreaded complication with percutaneous coronary intervention with stents, either bare-metal or drug-eluting stents is stent thrombosis (ST) and it has a significant detrimental effect on the outcome for the patient. The initial attempts at intervention with bare-metal stents had much higher rates of ST compared with what is currently prevailing in the modern interventional world. Signi…
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Fluid management in the critically ill
Fluid therapy, which is provided to restore and maintain tissue perfusion, is part of routine management for almost all critically ill patients. However, because either too much or too little fluid can have a negative impact on patient outcomes, fluid administration must be titrated carefully for each patient.
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Reversal of Direct Oral Anticoagulants: Guidance from the Anticoagulation Forum
The direct oral anticoagulants (DOACs) comprise the direct thrombin inhibitor, dabigatran, and the direct factor Xa inhibitors, apixaban, betrixaban, edoxaban, and rivaroxaban. Collectively, these agents have been approved by the United States Food and Drug Administration (US FDA) for prevention of stroke and systemic embolism in non-valvular atrial fibrillation, prevention and treatment of ven…
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Current Knowledge of Occult Hepatitis B Infection and Clinical Implications
Occult hepatitis B infection (OBI) is a status of undetectable serum hepatitis B surface antigen (HBsAg) yet detectable serum and/or intrahepatic hepatitis B virus (HBV) DNA. Mutations in the preS1, preS2, and S regions of the HBsAg gene may result in undetectable HBsAg. OBI may either result froma self-limiting acute hepatitis, or in patients with chronic hepatitis B who achieved HBsAg serocle…
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The global challenge of chronic kidney disease
A 48-year-old African woman presented at the Sheffield Kidney Institute complaining of lethargy as well as nausea and vomiting. She had always lived in a sub-Saharan African country devastated over the last quarter-century by war and internal conflict. Over the last 3 years, her health had been deteriorating, with progressive swelling of her legs.
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Hepatitis B Management in the Pregnant Patient: An Update
Chronic hepatitis B is a worldwide disease, with significant burden on health care systems. While universal vaccination programs have led to an overall decrease in incidence of transmission of hepatitis B, unfortunately, there remain large areas in the world where vaccination against hepatitis B is not practiced. In addition, vertical transmission of hepatitis B persists as a major concern
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Fetomaternal outcome in women with gestational diabetes mellitus
This study was conducted in the department of obstetrics and gynecology GMC Srinagar. Patients with period of gestation more than 28 weeks with Gestational Diabetes Mellitus were included in study group and 100 non-diabetic patients with similar period of gestation were taken as controls. Risk factors and fetomaternal outcome was compared in the two groups
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Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy wit…
The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic impl…
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Safety of Transvaginal Scan Estimated from Ultrasonic Bioeffects
The embryo and fetus are generally studied using ultrasound imaging in pregnancy; however, ultrasound wave is absorbed by biological tissues to elevate the temperature. The growing embryonic and fetal tissue tends to be damaged by heating; thus, excess heating that damages young sensitive growing tissue should be prevented in ultrasound diagnosis.
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Effectiveness of Ultrasound Simulation in Obstetrics and Gynecology Education…
The benefi ts and uses of ultrasound (US) are well documented for procedural and diagnostic purposes. A number of studies have evaluated the utility of simulation-based US training in achieving competency and improving safety. To the best of our knowledge, no previous studies have attempted to synthesize the effectiveness of US simulation in Obstetrics and Gynecology (OB GYN) education using…
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