Subarachnoid Hemorrhage due to a Ruptured Arteriovenous Malformation
J Kelly Smith
Article Type: IMAGE ARTICLE | First Published: March 08, 2019
Brain arteriovenous malformations (bAVMs) have an estimated prevalence of 10-18 per 100,000 persons. They consist of a nidus which connects arteries and veins in the absence of an intervening capillary bed. The absence of a capillary network allows for high-flow AV shunting that can be sufficient in some cases to increase cardiac output and cause a systolic-diastolic bruit heard over the ipsilater...
The Psychiatric Aetiologies of Epistaxis
Lewis William Murray
Article Type: RESEARCH ARTICLE | First Published: March 08, 2019
Both epistaxis and mental health disorders are common conditions encountered in medical practice and whilst there have been investigations into individual psychiatric conditions and epistaxis, to date no overview has been published of these conditions. This review aims to summarise the various aetiologies and their managements in the setting of epistaxis. A literature review was conducted using PubMed, Medline Ovid, and the Cochrane library using the terms epistaxis, mental health, psychiatric, and self-inflicted. The resulting literature was assessed, and their references reviewed to find add...
Cladribine in the Treatment of Systemic Mastocytosis, a Review of the Literature
Marlies EHM and Van Hoef, MD, Phd, MBA
Article Type: REVIEW ARTICLE | First Published: March 07, 2019
Mastocystosis is a rare disease for which treatment with cladribine (2-chlorodeoxyadenosine) was first reported in 2001. Cladribine has meanwhile been administered in over hundred reported cases and is available for intravenous and subcutaneous administration. Cladribine has mainly been used in systemic mastocytosis and in larger series responses were obtained in over 50% of cases in which treatment with H1/H2 blockers, interferon or tyrosine kinase inhibitors did not induce a response. Literature describing the use of cladribine in mastocytosis is reviewed herein....
Can Cochlear Implantation Improve Voice in Speaking Children?
Rabeea A El Sabeela and Safinaz N Azab, MD
Article Type: RESEARCH ARTICLE | First Published: March 07, 2019
After cochlear implantation fundamental frequency did not change significantly. However, an improvement was noticed in measurements of jitter (p = 0.006) and shimmer (p = 0.021) as early as 6 months after the implantation. The noise-to-harmonic ratio improved (p = 0.010) 12 months after implantation. The children implanted before or at the age of 4 years showed a significant improvement in jitter (p = 0.003) and shimmer (p = 0.004) as early as 6 months noise-to harmonic ratio (p = 0.021) 12 months after implantation. In children implanted after the age of 4 years the significant changes was de...
Is an Additional Dose of Intravenous Ferric Carboxymaltose Useful in the Treatment of Iron Deficiency Anemia?
Sinem Namdaroglu, MD and Gizem Yıldırım
Article Type: Research Article | First Published: March 06, 2019
Even though a single high dose administration of intravenous ferric carboxymaltose (FC) is supposed to be effective, it is unknown whether the second dose of FC given one week after the initial dose provides additional benefits. The aim of the present study was to investigate whether two doses of intravenous ferric carboxymaltose is more effective than a single dose of intravenous FC for replenishing iron stores and correction of anemia in patients with iron deficiency....
Baby Walker Use and Child Development
Melike METE, Gonca KESKINDEMIRCI and Gulbin GOKCAY
Article Type: ORIGINAL ARTICLE | First Published: March 06, 2019
The study was conducted in İstanbul University İstanbul Medical Faculty Social Pediatric Outpatient Clinic. Children aged 18-30 months who used BW for 30 minutes or more a day for at least 1 month constituted the user group (n = 100) and those who never used a BW were in the control group (n = 100). Information was obtained through the personal health record of the unit and by a face-to-face questionnaire applied to the families during their visits to the unit. The Ankara Development Screening Inventory (ADSI) was used to assess language-cognitive, motor and mental development. Sitting witho...
Relation between Heart Failure Patients with Cardio-Renal Syndrome and Serum Levels of Vitamin D
Haitham Galal Mohammed, MD, Mohammed Ahmed Abdelrahman, MD and Tarek Rashid Mohammed, MD
Article Type: ORIGINAL ARTICLE | First Published: March 06, 2019
Worldwide, the prevalence of vitamin D deficiency is as high as almost 50% among the elderly and the association between vitamin D and heart failure is widely debated. To study the relation between serum 25-hydroxy vitamin D levels and echocardiographic parameters of cardiac function in heart failure patients with cardio-renal syndrome. The study included 90 patients of all age groups and both sexes. They were divided into 3 groups of patients: 1: Systolic dysfunction and renal insufficiency (30 patients), 2: Systolic dysfunction only (30 patients). 3: Renal insufficiency only (30 patients)......
Risk Assessment and Communication in Pharmaceuticals: Recognizing the Differences in Occupational Health and Medication Safety
Vivian SW Chan Fung
Article Type: RESEARCH ARTICLE | First Published: March 06, 2019
Pharmaceuticals are the most common medical intervention. Ensuring workers and members of the public get the most benefits from advances in modern medicine is a critical component of improving the health care system. Pharmaceuticals bring healing to patients but increased risk of illness have been reported among workers manufacturing, handling and administering pharmaceutical products with inadequate attention to personal safety. Their potential for both helping and harming human health can be predicted based on health-based risk assessment. This assessment process for occupation and medicatio...
Heavy Metals Contents and Risk Assessment of Farmland on the Edge of Sichuan Basin
Mengling Yang, Dan Zhang, Lu Xu, Shamshad Khan, Fan Chen and Hao Jiang
Article Type: RESEARCH ARTICLE | First Published: March 04, 2019
This study features a survey of the concentrations of heavy metals (Cu, Cd, Cr, Ni, Pb, Mn, Co, Se) in surface soils (0-30 cm), carried out in edge of Sichuan Basin (Pingdi, Puan, Xingwen, Gulin). The contamination of heavy metals in soil was assessed with single-factor pollution index method and Nemerow comprehensive pollution index method. The results showed that Cu, Cr, Ni, Pb, Co were main ris...
An Inverted Impacted Mesiodens Perforating the Nasal Floor with an Impacted Canine
Eman Bin Saleh and Manju Roby Philip, MDS, FDSRCSEd, MOMS RCPSG
Article Type: CASE REPORT | First Published: March 04, 2019
Ectopically erupting supernumeraries constitute one of the common anomalies of the maxillofacial region. The most frequently impacted teeth in the maxilla are the maxillary canines, when the third molars are excluded. The mesiodens is the most well-known supernumerary tooth and is located between the maxillary central incisors. However, inverted impacted mesiodens is a rare finding. Herein, we rep...