scholarly journals Trying to Survive A Serious Heart Condition in Time of COVID-19

2021 ◽  
Vol 24 (2) ◽  
pp. E372-E374
Author(s):  
Josip Varvodic ◽  
Verica Mikecin ◽  
Irzal Hadzibegovic ◽  
Marko Kutlesa ◽  
Carla Coric ◽  
...  

The world has suffered over the past year under COVID-19. Unfortunately, people still are getting sick from other, also severe, diseases. Although the COVID-19 infection is present, patients need treatment for other life-threatening conditions. We present the case of a 36-year-old patient with severe infective endocarditis with a large abscess of the aortic root, who also is COVID-19 positive. Definitive diagnostics and treatment were avoided due to COVID-19 infection. In the end, emergent surgery was indicated due to acute cardiac decompensation and the development of heart failure symptoms, and the patient recovered uneventfully after surgery.

2018 ◽  
Vol 4 ◽  
Author(s):  
Shi Feng ◽  
Yu Wang

Obesity is a chronic life-threatening disease throughout the world. Available anti-obesity drugs may have hazardous side effects and no long-term safety assurance is in place for patients. In recent decades, alternative natural therapeutics have been intensively investigated. Among them, phytochemicals from citrus fruits have shown tremendous potential to combat obesity through different mechanisms. To date, the most active biological constitutes identified in citrus fruits are flavonoids and p-synephrine. These exert anti-obesity effects through multiple mechanisms, including regulating energy intake and expenditure, regulating lipid metabolism and regulating adipogenesis. In this mini review, a survey focusing on citrus phytochemicals and their anti-obesity activities is presented, together with an update of findings over the last 10 years, including active components and mechanisms of anti-obesity activities.


Crisis ◽  
2014 ◽  
Vol 35 (5) ◽  
pp. 338-348 ◽  
Author(s):  
Karl Andriessen

Background: Since the seminal publications of Shneidman (1969) and Cain (1972), suicide bereavement and postvention have attracted increasing research interest. Aims: To examine the topics of suicide bereavement and postvention in the core international suicidology journals, since their inception until mid-2013, in order to reveal the number of postvention articles throughout the years, their geographic distribution, and the topics of suicide bereavement and postvention that have been published. Method: The online databases of four journals (Crisis, The Journal of Crisis Intervention and Suicide Prevention; Suicide and Life-Threatening Behavior [SLTB]; Archives of Suicide Research; and Suicidology Online) as well as the tables of content of all issues were searched. The number of articles and the countries of origin were quantified, and articles were categorized according to their content. Results: The search identified 144 postvention articles, published during the past 40 years, almost exclusively in two journals (Crisis and SLTB). The majority of articles were (co-)authored by authors from Anglo-Saxon, Western countries. Articles were categorized in three groups: characteristics of suicide bereavement (n = 73), postvention programs (n = 66), and definition/theory and epidemiology of survivors (n = 5). Conclusion: Articles on suicide bereavement and postvention have been published mostly in two suicidology journals, albeit in modest numbers, and from a limited number of mostly Western countries. Our understanding of suicide bereavement and the provision of survivor support might benefit from the development of consensual definitions and from studies in other parts of the world.


Author(s):  
Maham Doagooyan ◽  
Seyedeh Hoda Alavizadeh ◽  
Javad Akhtari ◽  
Amirhossein Sahebkar ◽  
Saeed Ghanbari Hasan Kiade ◽  
...  

In the late 2019, a report from China was published stating a disease with unknown cause. After that,the outbreak of the COVID-19 caused a pandemic in the world. On March 11, 2020, the outbreak of this virus was reported in 100 countries. The virus is currently spreading rapidly around the world.In the past, coronaviruses caused life-threatening diseases such as SARS and MERSsome areas.Although there is still a debate about the origin of this new coronavirus, it is most likely linked with some animals including bats, civet and pangolin. In this review, we try to simply describe the features of the new coronavirusas well as the recent diagnostic and therapeutic findings.


2003 ◽  
Vol 11 (2) ◽  
pp. 162-182 ◽  
Author(s):  
Pittu Laungani

This article is a personal account of the author's experiences with a chronic, life-threatening illness, of which he has been a victim for the past fourteen years. In the article, the author argues that a serious life-threatening illness need not be seen as the end of the world for the sufferer. Such an attitude is self-defeating. It has serious negative consequences for the sufferer, with a high probability of the sufferer experiencing depression, loss of any goal and purpose in life, followed by a ten-dency to give up fighting. These are negative, pessimistic, and self-defeating attitudes. The author outlines definite, practical ways by which one can overcome such feelings and attitudes and transform one's life, making it positive, enjoyable, and happy. The author suggests how, despite one's chronic condition, one can work within one's limited capacity, create a sense of meaning and purpose in one's life, and extract as much fun and pleasure out of it as possible.


Medicina ◽  
2009 ◽  
Vol 45 (9) ◽  
pp. 683
Author(s):  
Palmyra Semėnienė ◽  
Arimantas Grebelis ◽  
Gintaras Turkevičius ◽  
Giedrė Nogienė ◽  
Rasa Čypienė ◽  
...  

Aim of the study. To investigate preoperative status and results of surgery of patients with confirmed diagnosis of aortic root infection. Materials and methods. We have analyzed data of 21 patients who were operated on at the Heart Surgery Center, Vilnius University, since January 1, 1997, till December 31, 2006. All these patients underwent surgery because of aortic root infection. The patients were aged 25–72 years (mean age, 53±14 years). There were 17 (80.9%) male patients. Sixteen patients (76%) preoperatively were in NYHA class IV. The abscesses of aortic root were confirmed preoperatively by means of esophageal echocardiography in 18 patients (86%). Blood cultures positive for Staphylococcus aureus were found in four patients (19.9%). All the patients underwent replacement of the aortic valve by mechanic prosthesis; one of these patients was reoperated because of persistent sepsis, and replacement of the aortic root with homograft was performed. The duration of follow-up of the patients was 1 to 10 years. Results. Inhospital mortality rate was 14.3%. The causes of death included sustained heart failure and sepsis. All these patients were in NYHA functional class IV preoperatively; one of these patients had culture positive for Staphylococcus aureus. Inhospital survival was 85.7%, one-year postoperative survival – 80.9%, and both five-year and ten-year survivals were 76.0%. The long-term survival was negatively influenced by recurrent infective endocarditis, heart failure, and age. Death occurred in 1 patient (11.1%) of the 9 patients who at the time of surgery were younger than 50 years and 4 patients (33.3%) of the 12 who were older than 50 years at the time of operation. Conclusions. The infection of aortic root is not common pathology; however, it is a complicated disease. Esophageal echocardiography is an informative method while diagnosing aortic root abscesses. The inhospital mortality is increased by the heart failure persisting after the operation and sepsis. The long-term survival is decreased by preoperative infective endocarditis of the prosthesis and heart failure. The mortality rate of patients older than 50 years is 3-fold higher than mortality rate of younger ones.


Author(s):  
Nathan I. Cherny

Incurable, life-threatening illness is endemic, and it often occurs in places of conflict. In these circumstances, care delivery is often compromised or complicated. Situations of conflict occur in many places in the world, and at any time a substantial proportion of the world population is involved in conflict of one sort or other. Conflicts, such as war or terror, traumatize the involved populations. In this situation, bereavement, fear, anxiety, and depression become commonplace. The observations in this chapter are derived from experiences working with Palestinian and Israeli patients in a Jewish hospital in Jerusalem over the past 15 years.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Aimee E. Moores ◽  
Michael S. Cahill ◽  
Todd C. Villines

Aortic mycotic aneurysms are a rare but life-threatening potential complication of infective endocarditis. Rapid deterioration of the vascular wall in highly focal areas makes these pseudoaneurysms particularly prone to rupture, resulting in uncontrolled aortic hemorrhage. While computed tomography angiography (CTA) is the imaging modality of choice for the evaluation of mycotic aneurysms, it is not routinely performed in patients with known or suspected infective endocarditis (IE). However, current valvular heart disease guidelines support the use of cardiac CTA in cases of IE and suspected perivalvular extension when there is inadequate or ambiguous visualization on echocardiography. Here, we describe a case of IE in which cardiac CTA was used for two purposes: to assess perivalvular complications and to define coronary anatomy in a patient with a suspected embolic myocardial infarction. Subsequent detection of an aortic root mycotic aneurysm not previously demonstrated on transthoracic or transesophageal echocardiography allowed for timely and uncomplicated surgical intervention, while avoiding invasive coronary angiography.


Author(s):  
John Mansfield

Advances in camera technology and digital instrument control have meant that in modern microscopy, the image that was, in the past, typically recorded on a piece of film is now recorded directly into a computer. The transfer of the analog image seen in the microscope to the digitized picture in the computer does not mean, however, that the problems associated with recording images, analyzing them, and preparing them for publication, have all miraculously been solved. The steps involved in the recording an image to film remain largely intact in the digital world. The image is recorded, prepared for measurement in some way, analyzed, and then prepared for presentation.Digital image acquisition schemes are largely the realm of the microscope manufacturers, however, there are also a multitude of “homemade” acquisition systems in microscope laboratories around the world. It is not the mission of this tutorial to deal with the various acquisition systems, but rather to introduce the novice user to rudimentary image processing and measurement.


This paper critically analyzes the symbolic use of rain in A Farewell to Arms (1929). The researcher has applied the Sapir-Whorf Hypothesis as a research tool for the analysis of the text. This hypothesis argues that the languages spoken by a person determine how one observes this world and that the peculiarities encoded in each language are all different from one another. It affirms that speakers of different languages reflect the world in pretty different ways. Hemingway’s symbolic use of rain in A Farewell to Arms (1929) is denotative, connotative, and ironical. The narrator and protagonist, Frederick Henry symbolically embodies his own perceptions about the world around him. He time and again talks about rain when something embarrassing is about to ensue like disease, injury, arrest, retreat, defeat, escape, and even death. Secondly, Hemingway has connotatively used rain as a cleansing agent for washing the past memories out of his mind. Finally, the author has ironically used rain as a symbol when Henry insists on his love with Catherine Barkley while the latter being afraid of the rain finds herself dead in it.


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