Consistent and correct mask use is a critical strategy for preventing the transmission of SARS-CoV-2, virus that causes COVID-19 (1). CDC recommends schools require universal indoor students, staff members, others in kindergarten through grade 12 (K-12) school settings (2). As U.S. opened 2021-22 year midst increasing community spread COVID-19, some states, counties, districts implemented requirements schools. To assess impact masking on incidence among K-12 students across United States,...

Takotsubo cardiomyopathy (TTC) is a transient systolic dysfunction of the left ventricle which usually seen in elderly women, often following physical or emotional stressful event. Little known about prognostic factors affecting recovery function. Thirty-six patients diagnosed with TTC from January 2006 to 2017 at our hospital were included. Median time ejection fraction (EF) was calculated be 25 days. Early defined as less than equal days (group 1) and late more 2). Demographic clinical...

As the outbreak of coronavirus disease 2019 (COVID-19) has progressed, computed tomography emerged as an integral part diagnosis alongside reverse transcriptase-polymerase chain reaction assays. Frequently encountered imaging findings include peripheral airspace consolidations; bilateral ground-glass opacities; and, less commonly, cavitation. Hilar lymphadenopathy is a rarely reported finding in setting COVID-19.

Staphylococcus schleiferi subsp. is a coagulase-negative which has been described as pathogen responsible for various nosocomial infections including bacteremia, brain abscess, and infection of intravenous pacemakers. Recently, such bacteria have to be found typically on skin mucosal surfaces. It also believed part the preaxillary human flora more frequently in men. very similar its pathogenicity with aureus group expresses fibronectin binding protein. Literature this reveals that it...

Lemierre’s syndrome is a rare disease associated with significant morbidity and mortality. It begins an oropharyngeal infection, which spreads locally to involve the internal jugular vein causing thrombophlebitis, followed by distant spread metastatic infections. Affected individuals are commonly young adults. Causative organisms usually flora, most being anaerobe Fusobacterium necrophorum . Porphyromonas asaccharolytica etiological agent only three cases reported in literature. This case...

Objective: American College of Graduate Medical Education (ACGME) recommends ongoing care 10 patients per resident however its implication is unclear. We hypothesized EMR quality to vary based on patient load and call status. Methods: conducted a double-blind, single-center, retrospective observational study between 2017 2019 investigate the accuracy documentation using Responsible Electronic Documentation (RED) Checklist, validated scoring system. Results: A total 234 independent charts...

Cephalexin is a very commonly prescribed orally administered antibiotic which has many potential side effects. Amongst these cholestatic jaundice been infrequently reported as an adverse reaction. We present case of 57-year-old male who exhibited features including elevated liver function tests (LFTs) after taking cephalexin and showed improvement on removal the offending agent. During this time he was symptomatically treated with cholestyramine. Complete resolution LFTs seen in four weeks....

Waterhouse-Friderichsen syndrome (fulminant meningococcaemia) is a fulminating infection, often leading to mortality in matter of hours. In the past 3 years there has been rise cases Neisseria meningitis men who have sex with (MSM) population USA and sporadic over world especially those are HIV positive. We describe case 34-year-old Caucasian man presented acute fulminant meningococcaemia, which proved fatal period This report emphasises need for further vigilance, prompt diagnosis treatment...

Background: Despite cancer being the second most common cause of death in United States, more people are living longer after diagnosis than before. Healthcare workers will be treating an increasing number patients with cancer. Various studies have identified predictors cardiac arrest general population, however, none been done to identify such factors who form a vulnerable group lower survival rate following arrest. Methods: We retrospectively analysed charts all active experienced...

Multisystem inflammatory syndrome (MIS) is a rare entity that usually presents with constellation of symptoms such as fever, hypotension, gastrointestinal symptoms, cardiac dysfunction, or dermatological involvement, representing an state. During the ongoing severe acute respiratory coronavirus 2 (SARS-CoV-2) pandemic, several cases multisystem in children (MIS-C) have been described literature. The Centers for Disease Control and Prevention (CDC) has acknowledged increasing incidence same...

The storage lesion is defined as the set of changes that occur in red blood cells (RBCs) during storage. Studies have shown a prolonged period RBCs associated with increased destruction after transfusion. aim this study to determine impact on efficacy RBC transfusions by comparing mean rise hemoglobin patients who received new vs old blood.We did retrospective chart review all single unit pure cell (PRBC) transfusion three-month period. Patients hemolytic anemia and active bleeding were...

Acute viral myositis is a fairly rare condition and usually seen in recovery phase of illness, especially pediatric or geriatric population. Influenza type A, specifically H1N1 may present with generalized mild elevation creatinine kinase addition to usual manifestations. We would like discuss an atypical presentation Type A (H1N1) middle aged male who was never immunized for influenza, presenting fever, vomiting, anuria acute severe left upper extremity pain. The most interesting our...

Objective: With healthcare focusing towards quality based it has created significant interest among physicians in measuring and defining appropriateness the treatment of medical conditions. We compared indications for which Intravenacaval (IVC) filter was placed our hospital with current guidelines by three major societies American Heart Association (AHA), College Chest Physicians (ACCP) Society Interventional Radiology (SIR) to compare measure placement IVC filters Methods: conducted a...

Abstract Background While a common phenomenon in other viral illnesses, data regarding coinfection/superinfections Coronavirus Disease 2019 (COVID-19) is limited and emerging. Superinfections may contribute to the overall high mortality those suffering from severe COVID19. We aimed study rate of coinfections secondary bacterial/fungal infections among SARS-CoV-2 positive cases community hospital. Methods This single-centre IRB approved, retrospective observational study. Adult patients with...

e18682 Background: COVID-19 Pandemic has impacted the diagnosis and treatment of breast cancer been shown to increase late stage at presentation. Most studies made year-wise comparison with 2019 for this conclusion. Same have also concluded that there was no difference in duration after diagnosis. Methods: We conducted an IRB-approved retrospective chart review 505 (255 2018 250 2019) patients diagnosed Breast Cancer from January December pre-COVID era 206 March 2020 i.e. COVID era. compared...