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  • ISSN: 2333-6676
    Volume 4, Issue 1
    Case Report
    Hang A Park, Won Chul Cha* and Ik Joon Jo
    Objectives: Performing effective cardiopulmonary resuscitation (CPR) is essential for favorable outcomes after cardiac arrest. However, maintaining high-quality CPR while transporting a patient on a stretcher is challenging, due to multiple distracts on rescuers attention from CPR. We hypothesized that quality of compression is influenced by the speed of the stretcher movement.
    Methods: This study is a prospective randomized, crossover simulation study. EMTs of the fire department were recruited. Participants were enrolled if their quality of CPR were adequate on standing position (compression depth ≥ 5 cm).Each participant performed chest compression in three scenarios for one cycle (30 compressions) in a random order. Scenarios were differentiated by the speed of stretcher; stopped (0 km/hr), walking (4 km/hr), and running (8 km/hr). The primary outcome was the percentage of adequate compression depth.
    Results: In total, 35 participants were included for the final analysis. All were male, median age was 39 yr (Interquartile range (IQR):31-44). Average duration of job experience was 3 yr (IQR:2-10). Percentage of adequate compression depth decreased significantly when the stretcher moved (91.6% (stopped) vs 70.8% (walking), 70.6% (running)). Compression rate was also increased during running state (p=0.02).
    Conclusion: We found that compression depth was significantly influenced by movement of stretcher.
    Pranav Jetley*, Rama Chatterjee, Usha Bafna and Nishith Kumar Jetley
    The Wolff-Parkinson-White (WPW) syndrome is one of the major causes of paroxysmal supraventricular tachycardia during pregnancy. Both incidence and symptoms of PSVT are exacerbated during pregnancy and may significantly affect maternal and fetal outcomes during caesarean delivery. We outline the anesthetic management of a patient with WPW syndrome undergoing caesarean delivery.
    Thomas Olsen* and Sabine Gill
    We describe a case of Bartonella endocarditis and crescentic glomerulonephritis. Initially, the patient was suspected of microscopic polyangiitis (MPA) with involvement of the aortic valve due to high levels of anti-neutrophil cytoplasmic antibodies (ANCA) and negative blood cultures. The patient’s condition worsened on the initiated treatment with steroids and cyclophosphamide, which lead to further analysis of the blood. Polymerase chain reaction (PCR) and specific testing revealed high titers of Bartonellahenselae. The patient was treated with antibiotics and valve replacement surgery with gradually full recovery.
    Research Article
    Twayana Ram Sundar1*, Adhikari Bhojraj, Humagain Sanjay, Koju Rajendra, Panjiyar Rajesh and Rana Pervinder Vir Singh
    Introduction: Coronary artery disease (CAD) is an increasing global problem. Reported incidences vary between developed and developing countries, however, there are several key contributing factors to the rising trend of CAD around the world. We have endeavored to describe the main risk factors for this major disease.
    Method: A prospective observational study was conducted between September 2010 and August 2012 in the College of Medical Science, Bharatpur, Nepal. 100 adult admitted patients (≥18 years) with the diagnosis of coronary artery disease were selected randomly and their data was analyzed using SPSS V.16.0.
    Result: This study revealed an age variation between 29 and 90 years with a mean age of 64.04±12.74 years. The majority (67%) of patients were male. 96% consumed a non- vegetarian diet and 58% were cigarette smokers. 28% of patients consumed alcohol, whereas obesity varied according to BMI, NCEP and WHR at 30%, 28% and 90% respectively. 52% of them were hypertensive and 24% had associated diabetes mellitus. Hypercholesterolemia, hyper triglyceridemia, high LDL-C and low HDL-C were found in 13%, 15%, 27% and 67% respectively. Over half of them (51%) displayed more than 5 risk factors.
    Conclusion: This cohort study identified multiple risk factors, most of which can be addressed, associated with CAD. Modification of these factors by pharmacotherapy, diet and exercise, and behavior therapy can both improve the prognosis of these patients and reduce the burden of CAD in this population group.
    Maria V. Iakovleva*, Olga Yu. Shchelkova and Catherine I. Lubinskaya
    Adherence to treatment is a relevant factor which influences the effectiveness of therapy, especially after surgical intervention. The psychological aspects of adherence are potentially significant for the definition of the concept and for prediction of patient’s behavior. Two groups of patients with CHD after CABG –adherent and non-adherent to treatment– were studied in terms of their coping behavior (their coping strategies and personality coping resources). A specific psychological profile of a non-adherent patient was defined as a result of the empirical research.
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