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Articles in Press

December  2016

Volume 3  Issue 4  

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Systematic Review  

Adolescent Presentations to Adult Hospital Emergency Departments: Systematic Review 

Omar Noori, Amith Shetty, Katharine Steinbeck*

Adolescents access either paediatric or adult emergency departments (EDs) for acute care and other health needs. Anecdotally adolescent management is perceived as burdensome in adult EDs, with complex chronic illness cited as a specific issue. This systematic review aimed to describe what is known of adolescent presentations made to adult hospital EDs.

 

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Research Article  

Effect of Socio-Demographic Variables on the Prevalence of Anaemia Among Pregnant Women in Sokoto, Nigeria  

Imoru M, Buhari H, Erhabor O*

Anaemia is a major public health problem affecting all ages of the population with its highest prevalence among the children under five years of age and pregnant women. Globally, anaemia affects 1.62 billion people (25%), among which 56 million are pregnant women. The World Health Organisation defined anaemia in pregnant women as haemoglobin less than 11.0 g/dL  and it has been observed that Africa carries a high burden of anaemia with a prevalence of 65.8% among pregnant women.

 

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Case Report  

Elevated Cardiac Troponin T After an Epileptic Seizure: Is There a Concomitant AMI?  

Caleb Lim, Fatimah Lateef, FRCS(A&E)(Edin), MBBS(Spore), FAMS(Em Med)*

Cardiac troponins are sensitive and specific indicators of myocardial injury and are traditionally used to support the diagnosis of myocardial infarction. However, raised cardiac troponins may also be found in a wide range of non-cardiac medical conditions. Examples include sepsis, neurological conditions, renal failure, burns and certain inflammatory and infiltrative diseases. Emergency physicians should consider these alternative diagnostic possibilities when faced with elevated cardiac troponins in the absence of other clinical and laboratory evidence to support a myocardial infarction.

 

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Research Article  

Systematic Review and Meta-Analysis of Pigtail Catheter Use in Traumatic Pneumothorax and Hemothorax  

Anthony Carden MD*, Tejveer S Dhillon MD, Edgardo S Salcedo MD, Daniel K Nishijima MD, David V Shatz MD, Joseph M Galante, MD

Traumatic hemothorax and pneumothorax are common injuries for which conventional treatment is large bore chest tube placement. Increasingly, small bore pigtail catheters are used to treat non-traumatic pneumothorax and pleural effusions, however they have not been widely adopted for trauma. The objective of this systematic review is to examine the evidence behind pigtail catheter use in traumatic and iatrogenic hemothorax and pneumothorax.

 

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