Combined Spinal Epidural Anesthesia in a Geriatric Patient Undergoing Hartmann Colostmy
Atilla Tutak, oznur Uludag, M Bahattin Pektas, Recai Kaya, Mevlut Dogukan, Ayse sahin Tutak
Article Type: Case Report | First Published: April 04, 2019
Geriatric age group; Increased sensitivity to anesthetic drugs, respiratory, general anesthesia due to cardiac complicatioans and cognitive dysfunction in the postoperative period is restricted. Combined spinal epidural anesthesia compared to general anesthesia and cardiac and respiratory stabilization, the extension of the duration of anesthesia, rapid mobilization, postoperative pain control, the advantages of early discharge and a reduction in costs. High doses of spinal or epidural anesthesia alone hypotension, bradycardia, segment reduces the disadvantages of such involvement....
Effects of Fractionated Neem Leaf Extract (IRC) on Blood Glucose Level in Alloxan Induced Diabetic Wistar Rats
Okpe Aaron C, Shu Elvis N, Nwadike kenneth I, Udeinya Iroka J, Nubila, Nkoyo I and Aniagor Ebele N
Article Type: Research Article | First Published: April 04, 2019
This study evaluated the hypoglycaemic effects of fractionated neem leaf extract (IRC) on alloxan induced diabetic wistar rats. IRC dissolved in phosphate buffered saline (PBS) PH 7.2 was administered as 50 mg/kg, 500 mg/kg, 1000 mg/kg, 2000 mg/kg single doses and 5 mg/kg, 50 mg/kg, 250 mg/kg and 500 mg/kg repeated doses in the diabetic rats while in the normoglycaemic rats 100 mg/kg and 250 mg/kg...
A Large Uterine Leiomyoma with Hypertrophied Omental Vessels: A Case Report
Ayse Nur Aksoy, Ebru Bulut Erdem, Gülsah Tanas Sarıkas and Elçin Telli
Article Type: Case Report | First Published: March 29, 2019
Uterine leiomyomas are the most common solid benign uterine neoplasms that arise from the overgrowth of smooth muscle and connective tissue in the uterus. It is estimated that 20-40% of women of reproductive age have uterine leiomyoma; the prevalence increases during the reproductive age and decreases after menopause. Uterine leiomyomas have been classified according to their location: Submucosal,...
Meaning and Agency in Biological Autonomy: The Motor Image in Self Integration
Article Type: Review Article | First Published: March 29, 2019
Understanding the physical basis for mediating personal integration constitutes an important domain of investigation for physical and mental health. Among its singular determinants are behavioral influences that plastically shape integration through motor plans and executed movements, and which also fundamentally contribute to cognition. A key requirement of the motor plan is that of framing motions in the context of an agent, where the body is appropriated as an origin of action emergence. Embodied, motor actions propel the consumption of free energy reserves needed to sustain organismal oper...
The Impact of Thyroid Autoantibodies Positivity on In Vitro Fertilization Outcome: A Comprehensive Review
Sokratis Grigoriadis, Evangelos Maziotis, Mara Simopoulou, Konstantinos Sfakianoudis, Polina Giannelou, Anna Rapani, Petroula Tsioulou, Agni Pantou, Despina Tzanakaki, Konstantinos Pantos and Michael Koutsilieris
Article Type: Research Article | First Published: March 28, 2019
In Vitro Fertilization (IVF) has been employed for more than four decades. A crucial concern is the etiology of infertility due to the fact that it may range widely, from reproductive system anatomy and endometrium receptivity to multisystem disorders and several immunologic factors. Among the immune pathologies that could compromise fertility are the autoantibodies affecting thyroid function. Infertile women are in a great prevalence of thyroid autoimmune disorders. However, there are still unsatisfactory data regarding the direct impact of thyroid autoantibodies (TAA) on IVF outcome. The aim...
The Effect of Different Sperm Concentration in Semen on Clinical Outcomes of In Vitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI): Retrospective Study
Teresa Wiesak, PhD, Robert Milewski, PhD, Kerri King, BSc, Andrew Atkinson, MD and Allen Morgan, MD
Article Type: Review Article | First Published: March 28, 2019
The objective of this retrospective study was to determine whether clinical outcomes (clinical pregnancy, implantation, live births and miscarriage) were affected by the application of IVF or ICSI insemination with different sperm concentrations in ejaculate in unselected population of infertility patients. Data of 786 in vitro fertilization (IVF) and 1268 intracytoplasmic sperm injection (ICSI) cycles were retrieved and analyzed according the stratification of the cycles as follows: Group with low (0-19.9), normal (20-99.9), above normal (100-150) and high (> 150 M/ml) spermatozoa concentrati...
DIBH-VMAT for Consolidation RT in Mediastinal B-NHL can Significantly Reduce Doses to OAR Report of Two Cases
Antje Fahrig, PD, Th Koch, Ch Heine, MSc, M Lenhart and L Fischer von Weikersthal
Article Type: Case Report | First Published: March 27, 2019
Consolidative radiotherapy after immuno-chemotherapy in localized bulky diffuse large B-cell lymphoma (DLBCL) patients significantly improves both, overall and progression-free survival and treatment is in principle curative. Therefore protection of organs at risk is highly relevant. Two 53-years and 18-years old patients with bulky mediastinal DLBCL were planned with and without deep inspiration ...
Genes Involved in the Development of Autism
Ines Lopes Cardoso and Sandra Almeida
Article Type: Research Article | First Published: March 27, 2019
Autism is still considered a very complex disease, since it has diverse etiology, with multiple factors apparently associated with its appearance. However, none of them reveals to be totally responsible for its development. Nowadays, this disorder is considered to have a strong genetic component with the interaction of several genes. Furthermore, other diseases with well-known etiology might also be related with autism. The aim of this review is to discuss, through bibliographic search, genetic factors involved in autism development....
Shear Wave Elastography: A New Assistant Modality in the Diagnosis of Hamartoma
Aysegul Altunkeser and Fatma Zeynep Arslan
Article Type: Case Report | First Published: March 27, 2019
Shear wave elastography(SWE) is a relatively new, promising modality which enables detailed information about tissues mechanical properties. Hamartomas are relatively rare, soft benign breast lesions comprised of glandulary and stromal components. The importance of radiological imaging methods increases especially in cases who do not have the typical appearance of hamartomas. Mammography and sonog...