Spontaneous evisceration through an incisional hernia: a rare complication in surgical practice
We reported a case of spontaneous rupture of an incisional hernia in a 56 years old female who underwent laparotomy twenty years before presentation to the Accident and Emergency Department of Cape Coast Teaching Hospital. She presented with a 4-h history of evisceration of bowel after bouts of cough. An emergency laparotomy and hernia repair was done after initial resuscitation. The patient’s recovery was uneventful and shortly after tested positive for HIV I. She was however lost to follow up. Neglect for early operative intervention or delay in seeking the treatment for anincisional hernia increases the risk of ruptur...
Source: Journal of Acute Disease - June 12, 2016 Category: Emergency Medicine Source Type: research

A case report of acute injury in ankylosing spondylitis
Publication date: Available online 13 June 2016 Source:Journal of Acute Disease Author(s): Yu-Hang Yeh, Yu-Jang Su Ankylosing spinal disorders tend to fracture after minor trauma because of its changed biomechanical properties. Herein we presented an ankylosing spinal disorders case with cervical spine fracture in a trauma after neck protection and surgical airway application. On CT scan of cervical spine, ankylosing spondylitis with an extension C4–C5 fracture was found. The patients' family decided not to receive operation to immobilize his cervical spine, then he was admitted to our surgical intensive care uni...
Source: Journal of Acute Disease - June 12, 2016 Category: Emergency Medicine Source Type: research

A case of acute hangman’s fracture
We present a case of an atypical hangman’s fracture in a 73-year-old Caucasian female after being involved in a low-speed motor vehicle collision. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 12, 2016 Category: Emergency Medicine Source Type: research

Successful treatment of acute sensorineural hearing loss with hyperbaric oxygen therapy
Publication date: Available online 13 June 2016 Source:Journal of Acute Disease Author(s): Murat Salihoglu, Ali Memis, Mesut Mutluoglu, Günalp Uzun, Hakan Ay Sudden sensorineural hearing loss (SSNHL) is an important acute clinical condition in children. A specific treatment is still missing. Hyperbaric oxygen (HBO) therapy is one of the recommended treatments for SSNHL in adults. Our knowledge on the use of HBO therapy in children for SSNHL is limited. Herein, we report the successful use of HBO therapy in the management of SSNHL in a 14-year-old child. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 12, 2016 Category: Emergency Medicine Source Type: research

Potential of microemulsified entacapone drug delivery systems in the management of acute Parkinson’s disease
Conclusions Entacapone S-SMEDDS is an effective drug delivery system that offers more predictable and extensive drug release with enhanced shelf-life in the treatment of acute Parkinsonism. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 12, 2016 Category: Emergency Medicine Source Type: research

Acute brucellosis in Nepal: Research and prospects
Publication date: Available online 11 June 2016 Source:Journal of Acute Disease Author(s): Krishna Prasad Acharya, Nirajan Niroula, Krishna Kaphle Brucellosis is a prominent zoonotic disease affecting humans and animals, with the lack of properly designed control program, and remains dangerous in third world countries like Nepal. Currently, brucellosis poses a public health concern, whose incidences among entire herds of animals can present substantial economic and health burdens for herders and health professionals. Additionally, factors such as close contact with animals, poor animal husbandry, and unhygienic f...
Source: Journal of Acute Disease - June 10, 2016 Category: Emergency Medicine Source Type: research

Correlation between the condition of patients with acute cerebral infarction and serum β2-microglobulin levels
Conclusions The level of serum β2-MG was abnormally elevated in the patients with acute cerebral infarction. The level of serum β2-MG can evaluate the severity of disease, infarction size and the degree of inflammation reaction in patients with acute cerebral infarction. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Asking for history of toxoid immunization in patients with acute injury induced wound: is it reliable?
Conclusions Since toxoid is a safe and save preventive vaccination, it should be regularly given as mass vaccination for any patients who got wound from acute injury and get a management in any health units. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Antimicrobial evaluation, acute and sub-acute toxicity studies of Allium sativum
Conclusions The extract caused selective changes in some biochemical parameters of organ function; however, since only mild alteration was observed at a dose of 300 mg/kg, the garlic bulb may be considered to be relatively safe and could be explored as an oral remedy at this dose. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Acute kidney injury in children: enhancing diagnosis with novel biomarkers
Publication date: Available online 9 June 2016 Source:Journal of Acute Disease Author(s): Samuel Nkachukwu Uwaezuoke This narrative review aims to appraise the sensitivity and specificity of novel biomarkers in identifying acute kidney injury (AKI) in children. Serum creatinine represents a poor traditional biomarker for AKI due to some limitations. Although alternative reliable biomarkers that would better identify individuals at high risk for developing AKI, identify AKI early enough, monitor its progression and patients' recovery, as well as identify those patients at higher risk for poor outcomes are not yet avai...
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

The emergency and delay management in total talus extrusion: Case report and review of literature after 24 months of follow up
We report the first case on an octogenarian man providing a long-term follow-up performing contrast-enhanced magnetic resonances. The authors report the case of an octogenarian man who fell from an olive tree reporting a total talus extrusion associated with the fracture of the medial malleolus. After an accurate debridement and washing of the wound, the talus was anatomically repositioned and the fracture was treated with an external fixator. The wound healed with difficulty after 12 months and the patient developed a chronic osteomyelitis of the talar dome and avascular necrosis of talar head. We followed the patient for...
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Clinical study on acute craniocerebral injury treated with mild hypothermia auxiliary therapy
Conclusions After treated with mild hypothermia auxiliary therapy, the metabolic rate and intracranial pressure of patients with craniocerebral injury decreased obviously, their cerebral blood flow perfusion were improved evidently and the release of adverse metabolic products were also reduced conspicuously, which was beneficial to the recovery of neurological functions. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Clinical analysis of acute cerebral infarction accompanied with lung cancer
Conclusions Patients with non-small cell lung cancer have hypercoagulability and hyperfibrinolysis with acute cerebral infarction as the initial symptom, and coagulation function involved in the development of lung disease. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

Clinical study on acute renal failure treated with continuous blood purification
Conclusions Continuous blood purification therapy possesses exact curative effect on acute renal failure. The cleanup effect of CVVHDF mode on solutes and its protective effect on heart and liver were all superior to those of CVVH mode. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - June 9, 2016 Category: Emergency Medicine Source Type: research

The impact of haze on the adolescent's acute respiratory disease: A single institution study
Conclusions Student with haze effect documented much higher symptoms during haze especially female students. Symptoms such as headache, wheezing and mucus were noted among the normal secondary school children in Kota Bharu. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 11, 2016 Category: Emergency Medicine Source Type: research