Hiccups are most often benign and short-lived, but they can also be persistent (> 48h) or even refractory (> 1 month). In these cases, it impairs qualitý of life and can have serious health consequences. We report the case of a patient who consulted for chronic hiccups with absences and in whom the neurological origin was confirmed on brain MRI.

A case of 41-year-old patient presented with left lower leg cellulitis, laboratory investigations showed elevated CK levels of more than 193000 U/L, high pancreatic enzymes level namely amylase & lipase, significant electrolyte and acid base abnormalities. Diagnosis of Rhabdomyolysis made based on CK level results in acute pancreatitis. This patient developed acute renal failure with all above in mind, he stayed inpatient for 19 days. The purpose of this case report is to highlight the unusually high CK with unusual association of acute pancreatitis leading to rhabdo¬myolysis and the associated morbidity.

Cardiovascular diseases and infections are the two main causes of mortality in Hemodialysis patients [1, 6]. Health care associated infective endocarditis among them carries higher morbidity and mortality. The following is a case series of 3 Enterococcal endocarditis in HD patients and our experience in the management.

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Numb chin syndrome is a rare presentation due to injury to mental nerve characterized by numbness, hypoesthesia, and paresthesia. This syndrome is mostly presented with dental interventions, traumatic injuries, or malignant pathologies. We report a unique case of a 20-year-old male diagnosed with sickle cell disease presented with loss of sensation over right chin area secondary to the vaso-occlusive crisis. This case depicts a complex relationship between neurological complications and hemoglobinopathies of SCD.

Bronchial asthma is a chronic disease of respiratory system that distresses loads of people universally. The most frequent and backbone therapy for asthma is breathe in or inhalation treatment, which is conveyed via variable devices. It is well evidenced that accurate technique of inhalation is critical for their effectiveness. Nevertheless, numerous individuals with asthma use their inhaler devices incorrectly, which can decrease the efficacy of the treatment and cause suboptimal control of asthma. Telehealth is a briskly emergent field that has the possibility to advance inhaler technique and asthma control in variable ways. Telehealth could represent valued means for developing inhaler maneuver and delivering other bronchial asthma healthcare services. Our study will review the significance of telehealth in delivery of instruction of inhaler to bronchial asthma patients and in control of bronchial asthma. Providing instruction on inhaler use through different methods such as telephone, web camera, and smart devices applications. Advantages and disadvantages of telehealth in asthma management will be discusses too.

Long-term health management is difficult for the continually expanding population of chronic disease sufferers. Smartphone interventions appear to be promising. Lifestyle variables have a key role in the development of chronic diseases such as heart disease, lung disease, and diabetes, and adjustments in lifestyle habits associated with these disorders can reduce chronic disease risk. The potential and evidence base for leveraging modern technology applications and platforms within the new communications environment to improve the prevention and management of lifestyle-related chronic diseases in the future are then considered. We explore the consequences and adaptation of lessons learned from the commercial and political applications of new technology, as well as their significance to public health. Studies discovered that the smartphone intervention was a completely or partially useful technique for assisting in the management of several chronic conditions. Patients with chronic conditions who used health-related smartphone apps are felt secure in the knowledge that their illnesses were being closely tracked, participated in their own health management more effectively, and believed that they had not been forgotten by their doctors and were being taken care of even outside the hospital/clinic. This article discusses the aspects of smartphone interventions for long-term chronic condition care, as well as how these applications benefit chronic disease patients. However, there are few smartphone apps for long-term chronic disease management. More smartphone apps are needed to assist people in managing chronic conditions.

Introduction: An increasing number of exercise training programs are being proposed for stroke rehabilitation, with results considered positive, although not fully validated, and no recommendations, either in terms of techniques or procedures, have been reported. Objective: To review the literature on the effects of exercise retraining and physical activity in adult vascular hemiplegics. Observe these results in relation to different body systems. Method: Consultation of databases (Medline) and relevant literature using keywords (stroke, physical exercise, strength, muscular training, treadmill training...). Results: We found 58 articles on different re-training and exercise techniques (walking, cardiovascular, muscular strength and others) and outcomes (cardiovascular, muscular, bone, neurological systems, functional status) in vascular hemiplegics. Discussion – Conclusion: There is considerable interest in the literature in exercise and re-training techniques for stroke patients, with promising results. However, there are many limitations to the studies, due to differences in population samples, analysis criteria and protocol modalities, making it difficult, given the current state of knowledge, to make recommendations concerning the generalization of certain procedures.