Lupine Publishers Group

Dilip Kr. Goswami*

DOI : 10.32474/GJAPM.2021.04.000200

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Pain can be considered as one of the commonest manifestations of a good number of diseases. A patient may present with pain of different character like, pinching pain, burning pain, cutting pain, spasmodic pain etc. which suggest a number of underlying conditions. Pain may be the presentation in different conditions like abdominal gas, infection, injury, inflammation etc. Expertness of the medical person is the determinant of appropriate diagnosis of the underlying disease. Indian system of medicine, Ayurveda,as the history reveals, was the only solution of the suffering people during the time assumed to be before 3000 years of the Christ . Shoola (pricking pain), toda (pinching pain), pida (aching pain) etc. are the words used in the Ayurvedic classics to understand different types of pains. As mentioned in the Ayurvedic classics pain is..... ReadMore

Ali Abdullah AlShehri*

DOI : 10.32474/GJAPM.2021.04.000199

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Pain is considered as the fifth vital sign in modern medical practice. Hence apart from other vital parameters, evaluation of pain has become a primary and necessary requirement for proper patient care and comfort. Septorhinoplasty is an elective and ambulatory surgical procedure which involves massive hard and soft tissue manipulation in the nasal region of the face. The postoperative pain is severe in septorhinoplasty since it necessitates to operate on the nasal cartilage and bone [1]. This postoperative pain is often disturbing, distressing and requires efficient pain control management [2]. Severe postoperative pain can lead to complications such as delayed wound healing, ischemia, thromboembolism, pulmonary complications, immunological changes, increased hospitaliza tion and cost of treatment [3,4]. In this quest to provide effectiv..... ReadMore

Andrew Hague*

DOI : 10.32474/GJAPM.2021.04.000198

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Throughout my years of boring, formal education that fortunately ended in 1968, I learned that humans are superior. Our brains are better than all other creatures and the world was created for us. Since I started learning for myself, I find most that I was taught to be nonsense. It hid the great weakness in humans – the mind. We have almost unlimited thinking ability. Compared to animals that can live off the land and creatures in the sea, we are helpless without damaging our environment. That we have succeeded in getting to the stage where life on Earth as we know it may be irreparably changed, is proof of our mental skill and stupidity. The greatest harm is inflicted on ourselves. The mind can cause illness. For the last hundred years or more, medicine has by law been restricted to biochemistry. Amongst those who have followed the dev..... ReadMore

Paul T E Cusack*

DOI : 10.32474/GJAPM.2021.04.000197

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In my 54 years of observation, I have never heard anyone who was better off having undergone back surgery. In every case I’ve heard about, the surgery made them worse off, in some cases, extremely worse off. Travis was in agony with lower back pain. He went for surgery and was made so much worse that he could barely walk anymore. He had his vertebrae fused together. He wished he had never undergone back surgery. He was suicidally depressed from the back pain. He would visit the Church every morning for prayer to help him get through the day. He had been somewhat athletic. Now he walked like a 100 year old man and doesn’t want to live. In another case, after a minor car accident, the individual would not go even to a chiropractor for the fear of what might happen. She would rather suffer the lower back pain than get anything done. She ..... ReadMore

Paul Kempen*

DOI : 10.32474/GJAPM.2021.04.000196

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On Monday, August 23, 2021, the Food and Drug Administration (FDA) approved Pfizer’s covid vaccine for general use. The legal reality is, that after general release of any drug by the FDA and under normal circumstances, this would allow physicians to prescribe and utilize the drug in Americans of any age, including children. We know CDC data documents hundreds of thousands of childhood covid cases and hundreds of deaths with rising numbers, while hopefully children are returning to school exposed to increasing risks. Although Federal laws prohibit age and disability discrimination, children and especially “at risk” children < 12 years are not being fully offered any of the treatments authorized under the emergency use authority (EUA) to mitigate the covid scourge. The Pfizer vaccine was released yesterday for Americans 12 years of a..... ReadMore

Andrew Hague*

DOI : 10.32474/GJAPM.2021.04.000195

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In March 2020 I wrote the protocol for stopping covid-19 with CellSonic based on the disinfective power of the machine that has been known for twenty years. The covid pandemic became government property in all countries and our proposal that noninvasive, drug fee biophysics with no known side effects was ignored by the bureaucrats panicking to find a solution to the deadly virus. It was only when the operator of a CellSonic machine in England was able to treat a friend on Tuesday, 29th June 2021 that we got the report three days later of the lady’s cure of the infection. Recommendations Those testing positive should be given a CellSonic treatment to kill the virus. In England there are testing stations set up in tents in car parks where CellSonic machines could be placed to be operated by nurses. One machine could treat five patients an..... ReadMore

Seun Ayoade*

DOI : 10.32474/GJAPM.2021.04.000194

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Kindly consider the following query/inquiry hold in my hand the bottle of hand sanitizer I applied before I started typing this letter to the editor. The label says “kills 99.9% of germs”. Really?! I hate to burst the bubble and rain on the parade of the millions of people using hand sanitizers in this sad season of the corona virus but you have to know a secret. NOBODY HAS EVER KILLED THE CORONA VIRUS OR ANY OTHER VIRUS. EVER. If by killing you mean irrevocably taking away life so the entity never comes back. When we use insecticides on insects they die and never come back. When a pet dog is run over by a truck and dies it never comes back. We never hear it bark or see it bite again. When a soldier is shot on the battlefield and dies, his life is over. His family and friends will never see him again. Is this what we do to the corona ..... ReadMore

Behzad Saberi*

DOI : 10.32474/GJAPM.2021.04.000193

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Traumatic brain injury as a neurological insult due to trauma is a common cause of referring to the emergency wards. There are various causes for traumatic brain injury occurrence like motor vehicle accidents, falls, blunt trauma etc. To classify the traumatic brain injury, there are various classification systems. This is a brief review on three classification systems for traumatic brain injuryIn the Glasgow Coma Scale (GCS) system, the patients with traumatic brain injury would be classified into three groups. Patients with mild injury have GCS scores from 13 to 15. Ones with moderate injury have GCS scores from 9 to 12 and the patients with severe injury have GCS scores which are less than 8. This scale is composed of three tests including eye, verbal and motor responses. In Marshall classification system, in Diffuse injury I, there is..... ReadMore

Bhanusri G and Krishna Sailaja A*

DOI : 10.32474/GJAPM.2021.04.000192

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The aim of the present investigation is to prepare mefenamic acid nanoparticles by desolvation technique using butanol as desolvating agent. To 1% aqueous solution of mefenamic acid the desolvating agent was added continuously at the rate of 1 ml per minutes till the solution become turbid. Then a cross linking agent was added and kept for stirring for a period of 8 hours. The obtained nanoparticles were evaluated for product yield, Drug content, entrapment efficiency and loading capacity. The SEM images clearly reveals that the particles were found to be spherical in shape. The product yield, drug content, entrapment efficiency and loading capacity was found to be 85.6%, 53.7%, 85.05% and 83.52% respectively. Nanoparticles are sub-nanosized colloidal structures composed of synthetic or semisynthetic polymers. They are nanospheres, nanoca..... ReadMore

Berov G Lyubomir*

DOI : 10.32474/GJAPM.2021.04.000191

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Dear reader, can you imagine for a moment how all fundamental forces act simultaneously and continuously in our material world? Certainly, you can’t, and no one can. And can you explain how this material world of ours does not fall apart instantly from their impact, but instead continues to exist for billions of years? Of course, you can. We humans, when confronted with indisputable facts, always consider many different possible answers, and, after long research we sometimes come to the almost correct one...... ReadMore

Sakhri esp Boulhart S*

DOI : 10.32474/GJAPM.2021.04.000190

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Ovarian, cystadenocarcinoma with an osteosarcoma component (OCS) also known as malignant mixed müllerian tumor (MMMT), is a very rare gynecological malignancy accounting for 1-3% of ovarian malignancies [1]. OCS is a mixed tumor composed of carcinomatous and sarcomatous components. The sarcomatous component may be either homologous, including endometrial stromal sarcoma, fibrosarcoma and leiomyosarcoma, or heterologous. We report a case of ovarian cystadenocarcinoma with an osteosarcoma component. A 63-year-old woman presented a tumor in the abdomen in December 2020. The tumor was restricted. Imaging findings, including computed tomography and magnetic resonance imaging, revealed a multilocular cyst tumor. Imaging also showed that the patient had massive ascites. Total abdominal hysterectomy, bilateral adnexectomy, omentectomy, lymphaden..... ReadMore

Mahsa Mirdamadi*

DOI : 10.32474/GJAPM.2021.04.000189

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Objective: To determine the frequency of post-operative pulmonary complications (PPCs) after cardiac surgery and association of pre-operative pulmonary factors with incidence of PPCs. Methods: This cohort study included 623 patients who underwent cardiac surgery using coronary artery bypass grafting (CABG), congenital heart surgeries, or valvular heart surgery. Incidence of PPCs and risk factors of PPCs were noted. One-way ANOVA and chi-square test were applied to determine the association of pre-operative and intraoperative risk factors with incidence of PPCs. Results: Post-operative pulmonary complications occurred in 362(58.1%) patients. Most common postoperative pulmonary complication was pleural effusion that occurred in 192(30.9%) patients, atelectasis in 151(24.2%) patients, diaphragm dysfunction in 77(12.4%) patients, pneumonia 47..... ReadMore

Reza Pourhosein*

DOI : 10.32474/GJAPM.2021.04.000188

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In this article, I am going to introduce the self-review technique. In a lot of research done by me and my colleagues, this technique has reduced the symptoms of depression, increased the level of happiness, and improved the quality of life. The approach of this method is cognitive and based on Beck’s theory [1]and the philosophy of returning to self-Iqbal Lahori (Pakistani Persian poet). According to these theories, the more a person becomes aware of his inner and outer abilities, the more real and normal his/her emotional responses will be...... ReadMore

Divyan Chopra, Chenghui Li, Jacob T Painter, Jonathan P Bona, Intawat Nookaew, and Bradley C Martin*

DOI : 10.32474/GJAPM.2021.04.000187

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Background: About 38% of U.S. adults use prescription opioids. Opioid-related overdoses have risen in the last decade. Studies suggest that duration and type of first opioid prescribed play a significant role towards risky and chronic opioid use. Objective: The primary objective was to identify key players involved with initiation of patients on opioids. This study also identified patient characteristics most likely to receive care from influential opioid providers as opioid initiation interventions could be directed to such physicians. Design/Participants: A cohort of patients with incident opioid use were identified using Arkansas All-Payer Claims Database from 2013-2018. A social network comprising provider as nodes and referrals as edges was constructed based on healthcare utilization 180 and 90 days preceding incident opioid u..... ReadMore

Yasser Mohammed Hassanain Elsayed1*

DOI : 10.32474/GJAPM.2021.04.000186

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Rationale: A novel COVID-19 with severe acute respiratory syndrome had emerged in Wuhan, China in December 2019. The presence of takotasobo cardiomyopathy in COVID-19 patients is an extremely rare and commonly recognized post severe stress. The changeable bifascicular block is also very rare to be present after COVID-19 with the severe acute respiratory syndrome. Interestingly, the combination of COVID-19 pneumonia with an apical takotasobo cardiomyopathy and changeable bifascicular block has a worthy risk impact on both morbidity and mortality of COVID-19 patients. Patient concerns: An elderly carpenter male COVID-19 pneumonic patient was admitted to the critical care unit with dyspnea and tachypnea post-severe emotional stress with evidence of acute myocardial infarction, cardiomyopathy, and changeable bifascicular block. Diagnosis: Api..... ReadMore

Atroune L*, Bouaita K, Benhafri A, Habchi N, Bennaleg S and Djaffer M

DOI : 10.32474/GJAPM.2021.04.000184

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Awake craniotomy is today a common and effective practice worldwide and in Algeria, however it remains a rare surgical procedure in children due to age and psychological aspects that hinder with its feasibility and limits its application. Despite extensive literature in the adult population awake brain surgery remains poorly reported in the pediatric population. The aim of this article is to report a case of a 15 years old child who was treated in our department with excellent outcome...... ReadMore

Andrew Hague*

DOI : 10.32474/GJAPM.2021.04.000183

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This is your death plan. Choose the easy options. Go with the flow. Do what you want to do. This will get you off the endless conveyor. No more effort and it’s all downhill. Be advised by advertisers, doctors who know nothing about food or exercise, a government that wants to squeeze you and business intent on profit. If you are reading this thinking you can do the opposite, think again. You will be fighting powers you did not know exist. Perhaps you should be in a cave without money, friends or help. Survival in a civilised society is difficult. Only the brave can go against the grain. There are three sectors: food, exercise and lifestyle. All three are waiting for you like monsters of the deep to suck you in and kill you. You think you are being looked after. Beware!...... ReadMore

Wang Jun, Yin Jichao*, Hu Xing lV and Lei Chengxiang

DOI : 10.32474/GJAPM.2021.04.000182

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Background and objectives: Superior cluneal nerve entrapment syndrome is one of the causes of low back pain. Explore new treatment methods for the treatment of Superior cluneal nerve entrapment syndrome. Case Report: A 44-year-old man with severe pain in the right lower waist for 3 days, pain in the right iliac crest, accompanied by throbbing pain in the right hip, restricted waist movement, increased pain during forward bending and rotation his straight-legraising tests were negative on both sides. Check the sacroiliac joints and spine without obvious abnormalities. Result: Manipulative therapy can relax the tension of the waist and hip muscles, and comprehensively obtain better treatment results for the compression of the buttock epithelial nerve; ultrasound examination can well describe the damage of the buttock epithelial nerve...... ReadMore

José Francisco Cravo*, Ionut Tabolcea and Turgay Tuna

DOI : 10.32474/GJAPM.2021.04.000181

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Cervical epidural blood patches (CEBP) remain an unfamiliar domain for most anesthesiologist as they fear the possible neurological complications related with the procedure. The injection of autologous blood as close as possible to the dural leakage site has shown to be the most effective approach for symptom resolution in case of spontaneous cervical dural tears. This case report describes in detail a feasible and effective technique to perform an epidural blood patch at the cervical level...... ReadMore

Castro Diez, Laura*, García Jiménez, Maria Lourdes, Juncal Díaz, Jorge Luis, López Álvarez Servando, Noguera Aguilar and Jose Francisco

DOI : 10.32474/GJAPM.2021.04.000180

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Objectives: Abdominal wall pathology, such as inguinal and umbilical hernias, is one of the most prevalent pathologies in the field of General Surgery, with interventions being carried out more and more within outpatient Major Surgery programs. Nevertheless, this pathology is not free from postoperative morbidities or complications, such as postoperative pain, which sometimes requires a longer hospital stay. We present our initial experience using incisional anesthetic catheters in patients who underwent an inguinal or umbilical hernia and analyze various postoperative parameters related to pain and the functional limitation it causes in the patient. Material and Methods: We intervened a consecutive series of 20 patients with an average age of 60 years with abdominal parietal defects, 15 with a diagnosis of inguinocrural hernia, an..... ReadMore