Multidirectional Spontaneous Migration of Intracranial Bullet: A Case Report and Literature Review
Matías Negrotto, MD, Ramon Figueroa, MD and Katherine Sotomayor, MD
Article Type: Case Report | First Published: June 26, 2019
Although gunshot injury to the head is usually mortal, survivors frequently show retained metal shrapnel or full bullet intracranially. An important though uncommon complication of retained bullet is that of spontaneous migration. A migrating intracranial bullet is a dilemma to neurosurgeons, as its management is challenging, since the removal of a deep-seated bullet may cause additional neurological deficit. Migration of a retained bullet may cause damage to vital structures and cranial nerves, producing significant neurological damage. ...
Clinical Performance of a Novel Fully Synthetic Dura Substitute
Umang Khandpur, BS, Wilson Z Ray, MD and Matthew R MacEwan, PhD
Article Type: Case Series | First Published: June 17, 2019
A retrospective case series was performed to evaluate the efficacy of a novel, fully synthetic dura substitute. Clinical outcomes (e.g. infectious, reoperation rates, cerebrospinal fluid leak) and surgeon experiences with the dura substitute intraoperatively were collected. All methods were approved by the Institutional Review Board at Washington University School of Medicine....
The Role of Neurosurgery Mission Trips in Third World Countries
Article Type: Review Article | First Published: June 17, 2019
A summary of available data on neurosurgical mission trips has been collected from PubMed and Google Scholar on the following mesh keywords: Neurosurgery trips, mission neurosurgery, and neurosurgery in third world countries. We gathered our information that was closely related to neurosurgical education such as proficiency, equipment, ethics and outcomes....
Histopathological and Biochemical Response of Chrysichthys Nigrodigitatus to Environmental Stressors from Two PollutedLagoons, Southwest Nigeria
Bassey Okon Bassey
Article Type: Research Article | First Published: June 17, 2019
Stressful environmental conditions are ecological force in modulating adaptive responses of fish populations in aquatic ecosystems with a large number of biochemical and physiological effects associated with increased fluxes of oxyradicals. This study was aimed to examine the impacts of oxidative stress and histological changes in organs of Chrysichthys nigrodigitatus from Ologe and Badagry lagoons. Biomarkers such as biochemical markers [malondialdehyde (MDA) and superoxide dismutase (SOD) and catalase (CAT) and glutathione (GSH)] and histological marker were analysed in C. nigrodigitatus usi...
Effects of Fumes Inhaled from Cooked Meat
Shivam Joshi, MD
Article Type: Review Article | First Published: June 14, 2019
Since 2015, the World Health Organization has regarded the ingestion of processed meat as a definite carcinogen and red meat as a probable carcinogen, basing their recommendations on studies showing an increased risk of colorectal cancer. The findings have led many to limit their ingestion of red and processed meat. Over the past several decades, a growing body of literature has formed regarding the possible harmful, if not carcinogenic, effects of fumes emanating from cooked meat on humans. In this article, we discuss the evidence available on the subject....
Current Metal Pollution Status and Ecological Risk Impacts on Ologe and Badagry Lagoons In Lagos, Nigeria
Bassey O Bassey, Chibuisi G Alimba and Obinna L Chukwu
Article Type: Original Article | First Published: June 15, 2019
Contamination of aquatic environment is increasing and has been associated with indiscriminate discharge of solid wastes and effluents generated from industrial, domestic and agricultural activities. These wastes and effluents contain harmful substances, such as metals, which constitute a major problem on the quality of the Nigerian coastal water. This study evaluated the impacts of heavy metals on the water and sediment quality of Ologe and Badagry Lagoons, South-West Nigeria. The heavy metals (Cr, Cd, Cu, Zn, Pb and Fe) in water and sediments was analyzed with atomic absorption spectrophotom...
Observations on Restless Legs Syndrome and Indications of the Cause
Melrose Truett Garrett, Jr. Sc.D
Article Type: Short Note | First Published: June 24, 2019
RLS accompanying loose stool (not diarrhea) indicated two hypotheses: 1) Medications for diarrhea will relieve RLS, 2) RLS is caused by pressure in the colon blocking a femoral vein, the nervous system then causes muscle contraction in the leg. In tests both were sustained. Soluble fiber corrects loose bowels but the number of Americans with insufficient fiber is much greater than those with RLS....
Microbiome and Diet Impact in Scalp Disorder: The Example of Alopecia Areata
Rinaldi Fabio, MD, Pinto Daniela, Marzani Barbara, Giammaria Giuliani and Sorbellini Elisabetta
Article Type: Case Report | First Published: June 26, 2019
Alopecia areata (AA) is a potentially reversible auto-immune non-scarring baldness on the scalp, which can be extended to the entire body. The impact of diet on hair growth disorder is well established as the influence of diet on gut microbiome. Poor information is still available as regards the link between microbiome, especially scalp microbiome and hair diseases. Here we reported a two case-reports study on patients affected by AA, with and without lactose intolerance, respectively, with the aim to underline how diet could emphasize microbiome changing related to scalp disease. Subjects wer...
Does Preoperative Carbohydrate Loading Help Outcomes in Total Knee Replacement Surgery?
Radha Reddy Chada, PhD, RD, Venkateshwar Reddy Maryada, MBBS, MS, CHS, Praharsha Mulpur, MBBS, DNB, Annapareddy V Gurava Reddy, MBBS, DNB, FRCS (Ed), FRCS, FRCS, M.Ch, Anita Maska and Veena Diggikar, PhD
Article Type: Original Article | First Published: June 22, 2019
Prolonged overnight fasting prior to surgery was advocated to reduce the risk of aspiration during or after surgery. Recent studies suggest prolonged fasting is associated with increased insulin resistance, increased acute phase stress response and decreased well-being among surgical patients. Our hypothesis is that pre-operative oral carbohydrate loading 2 hours prior to surgery is associated with improved patient reported well-being....