Publications by authors named "J Mullings"

Article Synopsis
  • - Oral iron is the primary treatment for iron deficiency anemia during pregnancy, and a pilot randomized trial was conducted to assess different dosing schedules (daily, every other day, and three times a week) on various outcomes in non-anemic pregnant women.
  • - Of the 300 participants, overall adherence to the supplementation was 82.5%, with better adherence in the alternate day and three times a week groups (62% and 61%, respectively) compared to the daily group (47%).
  • - Results indicated that the daily iron dosing may help maintain hemoglobin levels better, but many reported side effects overlapped with typical pregnancy symptoms. More extensive trials are needed to confirm the benefits of oral iron supplementation for preventing iron deficiency anemia.
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Introduction: Accurate diagnosis of traumatic arthrotomy of the knee (TAK) is critical for patients presenting to the emergency department (ED) to ensure timely treatment. Current diagnostic modalities including plain radiography, computed tomography (CT), and the saline load test (SLT) have advantages and disadvantages. Point-of-care-ultrasonography (POCUS) offers a possible timely, low-cost, and efficient alternative method of diagnosing TAK.

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Introduction: Coronary sinus thrombosis (CST) is a rare condition, primarily occurring after instrumentation of the heart, with no prior reported cases diagnosed via point-of-care ultrasound or of spontaneous occurrence without predisposing medical or surgical history. Patients typically present with critical illness, and CST has a reported mortality of 80%.

Case Report: We present a case of a healthy 38-year-old male with chest pain one hour after cocaine use, with an electrocardiogram pattern consistent with Wellens syndrome, whose point-of-care cardiac ultrasound revealed CST.

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Background: Venous leg ulcer(s) are common, recurring, open wounds on the lower leg, resulting from diseased or damaged leg veins impairing blood flow. Wound healing is the primary treatment aim for venous leg ulceration, alongside the management of pain, wound exudate and infection. Full (high) compression therapy delivering 40 mmHg of pressure at the ankle is the recommended first-line treatment for venous leg ulcers.

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Kidney transplantation is the optimal treatment for end-stage renal disease, but it is still severely limited by a lack of suitable organ donors. Kidneys from donation after circulatory death (DCD) donors have been used to increase transplant rates, but these organs are susceptible to cold ischemic injury in the storage period before transplantation, the clinical consequence of which is high rates of delayed graft function (DGF). Normothermic machine perfusion (NMP) is an emerging technique that circulates a warmed, oxygenated red-cell-based perfusate through the kidney to maintain near-physiological conditions.

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