Is Balancing Blood Pressure Night Dips Effective in Preventing Glaucoma Progression? A Pilot Study
Gil Peretz and Miriam Zalish
Article Type: Research Article | First Published: December 24, 2015
Much has been written about the relationship between intraocular pressure (IOP) and glaucoma. An elevated IOP has been found to be a risk factor for both glaucoma development and progression, and IOP reduction has been useful in at least slowing disease progression [1-4]. Some glaucoma patients continue to progress in spite of having low IOP levels, and this applies to treated patients with primary open angle glaucoma (POAG) as well as treated patients with normal tension glaucoma (NTG)....
Modification of the Uranyl Acetate Replacement Staining Protocol for Transmission Electron Microscopy
Santhana Raj L, Paramsavaran S, Koay BT, Izan Shahrina A and Siti Aminah N
Article Type: Review Article | First Published: January 02, 2016
A uranyl acetate replacement staining protocol has eliminated the need for highly toxic uranyl acetate in the electron microscopy laboratory. However, the method is results in undesirable charging effects when viewed under the transmission electron microscope and can be further improved. A modification of the uranyl acetate replacement staining protocol that simplifies the process is described. The modified method takes less time, and produces better contrast and less charging effects compared to the existing uranyl acetate replacement staining protocol....
Preventing a Mass Disease: The Case of Gallstones Disease. Role and Competence for Family Physicians
Article Type: Review Article | First Published: November 23, 2015
Gallstone formation is due to a complex interaction between genetic and nongenetic factors. Genes are estimated to account for only about one-fourth of the overall gallstone risk, while metabolic/environmental factors are at least partially modifiable in stone-free risk groups, acting by primary prevention measures on diet, lifestyle and/or the environment or, in selected patients (i.e. rapid weight loss, bariatric surgery, somatostatin or analogues therapy, transient gallbladder stasis, hormone therapy)....
California Physicians' Opinions of the Interface between Oral and Overall Health: A Preliminary Study
Paul Gavaza, Wonha Kim, Rashid Mosavin and Nguyen Ta
Article Type: Research Article | First Published: November 20, 2015
Background: Oral health is a significant health challenge in the United States. The aim of the study is to investigate California physicians' knowledge and opinion of the interface between oral and overall health as well as their recommendations for strengthening the oral and overall health interface. Method: The questionnaire, a self-addressed, postage paid return envelope and a cover letter explaining the purpose of the project was mailed to 1,000 California physicians. The survey had a total of 45 items measuring physicians' knowledge and opinions of the interface between oral and overall h...
Do Culturally Sensitive Psychological Support Interventions Reduce Stress in Black and Hispanic Professional Health Science Students: A Pilot Study
Samuel R Terrazas, Kathy Revtyak, Krizia Mendez, Marisela Padilla, Jacen S Moore and A Daniel Peralta
Article Type: Short Communication | First Published: November 13, 2015
Stress is a transactional process affected by psychological traits that commonly affect the performance of college students independent of nationality and race. However, Hispanic and Black students tend to perceive more stress in the academic context as a result of many factors, especially insitutional oppression. Many students, including minorities, lack sufficient stress management and coping skills. High levels of stress impact not only mental health, but can lead to physical complications for which a student may seek medical care through a family physician. Long-term stress can contribute ...
Evidence Based Prevention of Type 2 Diabetes: Role of Lifestyle Intervention as Compared to Pharmacological Agents
V. Naik, R. Dave, J. W. Stephens and J.S. Davies
Article Type: Review Article | First Published: December 08, 2015
Type 2 Diabetes Mellitus (T2DM) is one of the most costly and burdensome of chronic diseases and is a global epidemic. Estimates by the International Diabetes Federation indicate that 387 million people have diabetes, and that this figure is expected to rise to 592 million by 2035 with an additional 175 million cases currently undiagnosed. Individuals with T2DM are at a significantly higher risk of co-morbidities particularly cardiovascular disease (CVD). Additionally, pre-diabetes independently increases the risk of CVD and death....
Why, When and How We Propose Withdrawal Insulin Treatment in Type 2 Insulin Resistant Diabetes
Andreu Nubiola, Imma Remolins and Miquel Nubiola
Article Type: Review Article | First Published: November 17, 2015
Insulin treatment is the choice in insulinopenic diabetic patients, in order to prevent or delay microvascular lesions, related to hyperglycaemia. However in insulin resistant type 2 diabetes, the improvement in glycaemic control with insulin, is not without side effects, especially weight gain and hypoglycaemia. Many retrospective or case-control studies of insulin treatment have reported a higher prevalence of CVD in insulin-treated patients. However, many of these patients started insulin therapy in relation to different clinical settings, following this treatment for years. In clinical pra...
In Your Dreams - A Case of Presumed Rapid Eye Movement Sleep Behavior Disorder in the Inpatient Psychiatric Unit
Michelle B Collier, Stephanie D Nichols and John J Campbell
Article Type: Case Report | First Published: December 01, 2015
Unlike dyssomnias that influence quality and duration of sleep, parasomnias primarily affect behavior. Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia characterized by loss of normal skeletal muscle atonia during REM sleep. Usually, atonia occurs through neural inhibition via pontine nuclei to spinal motor neurons. Dysfunction, due to lesions or neurodegeneration, can lead to dream enactment. Therefore, sleepers may act violently, including: hitting, jumping, or kicking....
Pain Management in Knee Arthroplasty: An Overview
Md Quamar Azam, Mir Sadat-Ali and Ahmed Bader
Article Type: Review Article | First Published: December 28, 2015
Perioperative pain management after knee arthroplasty has undergone a conceptual revolution in the last decade. Along with other exciting innovations, including minimally invasive techniques, computer-assisted procedures and a significant stride in tribology, understanding pain modulation and drug action at molecular level is recognized as the game changer in arthroplasty surgeries....