Organ Dose Evaluation for Head CT Scans using a Female Anthropomorphic Phantom
Fernanda Stephanie Santos, Priscila do Carmo Santana and Arnaldo Prata Mourao
Article Type: Original Article | First Published: June 21, 2019
Computed Tomography (CT) has become an important tool for diagnosing cancer and to obtain additional information on different clinical issues. Today, it is a very fast, painless and noninvasive test that can be performed high quality images. However, CT scans usually require a higher radiation exposure than a conventional radiography examination. Head CT scans are used for diagnosis of traumatic head injuries, infections and other diseases with instability. Based on this information, three head scans were performed using the routine protocol used in the radiodiagnosis service, programming the ...
Nephroenteric Fistula after Lithotripsy-A Rare Complication
D Campos Correia, MD, Ricardo M Antunes and P Ferreira
Article Type: Case Report | First Published: June 12, 2019
Nephroenteric fistulas are rare and generally occur as a result of chronic inflammation, ischemia or necrosis. Nephrectomy and primary closure of the fistulous tract currently represent the mainstay of treatment for non-functioning kidneys but kidney preservation should be attempted in cases of traumatic fistulae. The authors report a case of a 69-year-old female with an infected subcapsular renal haematoma and a fistulous tract to the duodenum following ureteroscopic laser lithotripsy of a right proximal ureteral calculus....
Intracranial Meningeal Hemangiopericytomas: Articles Review and Case Report
Jianliang Chen, Hengxing You, Yuanqiang Zhong, Xiaowen Lian and Zehong Wu
Article Type: Case Report | First Published: June 12, 2019
Intracranial meningeal hemangiopericytomas (HPCs) represent a rare and aggressive intracranial neoplasm located along the dural sinuses, tend to recur and metastasize, and account for less than 1% of intracranial tumours and approximately 2~4% of all meningeal tumors. We discuss herein the dynamic of HPCs and review the literatures from its clinical symptoms, imaging features, histopathological features, differential diagnosis and treatment and prognosis, and present a case of a 35-year-old male with metastatic recurrence of an intracranial hemangiopericytoma, who underwent resection of primar...
Personalized Medicine and Psychoanalysis: How Pharmacogenomic Testing Facilitates Depression Treatment
Article Type: Review Article | First Published: June 14, 2019
Pharmacogenomic testing offers enormous potential to manage mental disorders like depression. But many psychoanalysts aren't aware of its value and biotechnical power. This article explains how this form of personalized medicine can be used to aid in the treatment of patients with depression. With over 20 medications approved by the FDA to treat depression, and many others recommended for off-label use, treatment failure with antidepressants commonly occurs in clinical practice. Inviting genetic testing into the treatment plan when working with depressed patients can reduce the rate of medicat...
Primary Myxofibrosarcoma of the Breast: Case Report and Review
Raid Jastania and Tahani Nageeti
Article Type: Case Report | First Published: June 17, 2019
Soft tissue sarcomas of the breast are very rare tumors and account for less than 1% of all primary malignant breast tumors. We are reporting a case of primary myxofibrosarcoma of the breast in a 55-year-old woman treated at King Abdulla Medical City and we conducted a literature review on primary soft tissue sarcomas of the breast....
Efficacy of n-Heptane as a Xylene Substitute in Routine Histopathology
Anubhuti Shrivastava, Shreenivas Kallianpur and Sandeep Gupta
Article Type: Research Article | First Published: June 17, 2019
The aim of our study was to evaluate the efficacy of n-Heptane (C7H16) as a xylene substitute for clearing, deparaffinizing and staining procedures in routine histopathology. 30 biopsied oral tissues were divided in two halves, each half was processed by xylene and n-Heptane respectively. Kappa statistical analysis established agreement between observers in all criteria's with significant p value < 0.05. The p value (> 0.05) was not statistically significant with Mann-Whitney U Test, for all criteria's indicating comparable results between n-Heptane and xylene. The clarity, uniformity, crispne...
Cheiloplasty in Functional Aesthetic Treatment for Bilateral Double Lip: Case Report
Taysnara Ismaeley de Andrade, Danilo de Moraes Castanha, Joelma Silva de Andrade, Diogo de Oliveira Sampaio and Carlos Frederico de Farias Batista
Article Type: Case Report | First Published: June 29, 2019
The double lip is a rare and benign developmental alteration characterized by increased lip tissue, specially of the upper lip. Its etiology is linked to congenital factors, such as Ascher Syndrome, or being acquired by labial trauma. The main related complaint is the aesthetic, and the diagnosis is predominantly based on the clinical aspect. The hormonal exams are part of the differential diagnosis. Regarding the treatment, there are several techniques of surgical excision but the elliptical incision, also known as wedge, has presented better results and low rate of postoperative sequelae. Th...
Views on the Effectiveness of a Google Jam Session for Interdisciplinary Collaborative Brainstorming to Solve Clinical Issues on a Geriatric Dementia Unit
Wally J Bartfay, Brenda Gamble, Andra Duff-Woskosky, Zuhra Mazik and Karen Zavitz
Article Type: Original Article | First Published: July 04, 2019
Dementia is a leading cause of death, disability and hospitalization in Canada and globally. A partnership between Ontario Shores Centre for Mental Health Sciences and Ontario Tech University, both located in the Durham Region in the province of Ontario, Canada was established to create a space of technological innovation in front line dementia care on a Geriatric Dementia Unit (GDU). Our goals are to improve patient quality of life and recovery, enhance the health and well-being of patients with dementia and their caregivers, and allow front-line health and social care providers to practice t...
Z-Calcaneal Osteotomy: Radiographic Assessment of Correction in the Valgus Hindfoot
Daniel Dawson, A Walls and J Wong
Article Type: Original Article | First Published: June 24, 2019
Elective reconstruction in the valgus hindfoot is a complex and varied field of orthopaedic surgery. Often multiple procedures, both bony and soft tissue are required. The surgical aims are to create a plantigrade foot, restore hindfoot alignment and re-create the medial longitudinal arch in an attempt to allow more normal biomechanical function. Invariably a calcaneal osteotomy is required to correct hindfoot alignment. There are various methods of performing a calcaneal osteotomy....