Juniper Publishers: Rare Complications of Caudal Epidural Steroid Inje...

Juniper Publishers: Rare Complications of Caudal Epidural Steroid Inje...: Journal of Head Neck & Spine Surgery   Opinion The caudal epidural steroid injection reported in 1952 helps to treat low back ...

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Intradialytic Hypotension and Left Ventricular Function Improved After Intravenous Levo Carnitine Therapy in a Pediatric Hemodialysis Patient-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: The significant decline of endogenous carnitine levels has been well confirmed in a single hemodialysis session. In children, owing to poor tissue stores, and growing demand, a resurgence in carnitine levels may take much longer time. Intradialytic hypotension secondary to carnitine deficiency is commonly due to depressed cardiac function. During hemodialysis, both oral carnitine and intravenous carnitine has been equally effective in adults by reducing the signs and symptoms. However, in children, intravenous carnitine may be more effective in the management of intradialytic hypotension and improving heart function. Case presentation: We report a 9-year-old girl who is a known case of end-stage renal failure secondary to hypoplastic kidneys. Her dialysis is complicated with left ventricular systolic dysfunction, and tertiary hyperparathyroidism for which she und...
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Juniper Publishers trusted open access platform

Juniper Publishers: A Trusted Open Access Platform Introduction In the rapidly evolving world of academic publishing, open access platforms have become essential in promoting global knowledge sharing. Juniper Publishers positions itself as a trusted open access publisher , offering a broad range of scientific and medical journals. It aims to provide a transparent, accessible, and ethical platform for researchers, scholars, and practitioners to disseminate their work worldwide. 1. Open Access for Global Reach Juniper Publishers follows the open access publishing model , meaning that all published content is freely accessible without any subscription barriers. This ensures: Greater visibility and citation potential for authors Easy access for researchers, educators, and policymakers Enhanced collaboration across institutions and borders The platform enables global readers to stay updated with current scientific developments. 2. Diverse Portfolio of Jour...
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Physical Condition for the Coronary Artery Disease Patients-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Keywords: Aerobic exercise; Cardiac output; Maximal oxygen uptake Coronary Artery Disease Considerations A systematic review estimated that inactivity is responsible for 6% of the burden of disease from coronary heart disease worldwide [1]. CAD influence on work capacity and physical performance has been widely investigated. Myocardial functional changes include declines in maximum heart rate, stroke volume, left ventricular contractility and an increase in peripheral vascular resistance. Oxygen demand and supply for the Myocardium are normally balanced. Oxygen demand above quiescent needs of the Myocardium is determined by number of factors: Heart rate-the greater the frequency of contractions, the greater the oxygen demand. Myocardial wall tension is a function of both left ventricular systolic pressure and the ventricular radius [2]. The contractility of the heart-relates to the ...
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