1. Abstract

1.1. Background

Theoretically, inhaled nitric oxide can be effective on the treatment of acute cor pulmonale. However, the efficacy during acute respiratory distress syndrome has not been proved.

DOI:http://dx.doi.org/10.47829/ACMCR.2021.61903

1. Editorial

An interesting article titled “Frequency and Characteristics of Nodal and Deltoid FDG and 11-C Choline uptake on PET imaging performed after COVID-19 vaccination” was recently published in American Journal of Roentgenology. In this Editorial, I will like to discuss important pertinent findings of this study. 67 patients were recruited (66 had undergone PET/CT and 1 had undergone PET/MRI; FDG in 54 and 11-C Choline in 13) in this study.

DOI:http://dx.doi.org/10.47829/ACMCR.2021.61902

1. Abstract

Carcinosarcoma or metaplastic carcinoma of the breast with mesenchymal differentiation classified as subtypes of metaplastic breast carcinoma (MBC) is a rare and highly aggressive tumor. Metastasis to soft tissue and bone is a challenging issue to make a diagnosis because of similarity to the mesenchymal tumor.

DOI:http://dx.doi.org/10.47829/ACMCR.2021.61901

1. Abstract

Associations between psychiatric symptoms in patients with celiac disease have been described in the literature. We report the case of a schizophrenic patient initially suspected of Wilson disease that was diagnosed with celiac disease in our hepatology unit.

http://dx.doi.org/10.47829/ACMCR.2021.61803

1. Abstract

Cardiac angiosarcomas are uncommon, primary malignant cardiac tumors, characterized by an aggressive local growth within the myocardial structures. The majority occur in the right atrium, and at the moment of diagnosis usually infiltrate into neighboring structures. Due to the lack of typical features in clinical presentation, the diagnosis of cardiac angiosarcoma is challenging.

http://dx.doi.org/10.47829/ACMCR.2021.61802

1. Abstract
Septic shock develops as a result of the rapid progression of sepsis due to the massive release of proinflammatory mediators, and is characterized by severe hypotension and tissue hypoxia. While early goal-directed therapy (EGDT) and polymyxin B direct hemoperfusion (PMX-DHP) have shown effectiveness in the treatment of septic shock, no biomarkers are available to accurately assess the therapeutic responses in such patients. Here, we performed the first whole blood gene expression profiling in a successfully treated case of septic shock. A 74-year-old woman was admitted to the intensive care unit and diagnosed with septic shock and dangerously low blood pressure (50/38 mmHg). High Acute Physiology and Chronic Health Evaluation (APACHE)-II and Sequential Organ Failure Assessment (SOFA) scores (40 and 14, respectively) indicated a significant probability of a fatal outcome.

http://dx.doi.org/10.47829/ACMCR.2021.61701

1. Abstract

Rural healthcare recently came into international spotlight, with recent reported influx of the COVID-19 into rural regions. This article focuses on susceptibilities of the rural population to pandemics and mitigating measures to prevent formation of disease epicentre. Rural Healthcare is by far one of the most neglected areas of medicine. The discrepancies in quality of rural healthcare has been evident for decades, yet no lasting measures have been able to bridge this gap till date. Lessons gleaned from the recent SARS and H1N1 pandemics has once again fallen through the cracks in a futile attempt to curb urban spread.

http://dx.doi.org/10.47829/ACMCR.2021.61801

1. Abstract

Syringoma is a benign eccrine sweat gland tumor affecting mostly females at puberty projected with multiple soft papules usually 1-2 mm in diameter. During puberty, syringoma appears among females; it is presented as multiple soft papules, 1-2 mm in diameter, as a benign eccrine sweat gland tumor. The sites of predilection are lower eyelids, and cheeks. The regions of tendency are cheeks and lower eyelids. Syringoma of the vulvar is a rare disorder few cases of which have been reported in literature.

1. Commentary

In 1900, Gino Severini he met the painter Umberto Boccioni. Together they visited the studio of Giacomo Balla, where they were introduced to the technique of Divisionism, painting with adjacent rather than mixed colors and breaking the painted surface into a field of stippled dots and stripes. The ideas of Divisionism had a great influence on Severini’s early work and on Futurist painting from 1910 to 1911.

1. Review

It’s important to define what Primary Care is and the priorities and context in which Primary Care works.

After few but important and cornerstone words on Primary Care as in Alma Ata Declaration, we needed a Document defining what General Practice is and its competencies, a really authoritative view on what family doctors in Europe should be providing in the way of services and health to patients, at the highest quality and cost effective.