Holmium Laser Lithotripsy: In-Vitro Investigation of Optimum Power Settings in Fragmentation, Dusting and Propulsion and Stone Breaking Times
Article Type: Research Article | First Published: October 14, 2019
An experimental urinary system model was created. Stones previously taken during the operation were used for the procedure. For this purpose, stones with Ca-oxalate and Ca-phosphate were used. Kidney and ureter model was prepared under laboratory conditions. Irrigation catheter with a lumen of 15 mm was used for the ureter model. 9F rigid ureterorenoscope (Storz/Germany) was used to reach the stone. DORNIER MEDILAS H SOLVO/30 W-Germany laser was used for stone crushing. 275 and 550 microfibers were used for stone crushing as laser fiber. Eight different stone crushing settings were determined ...
Determinants of Children Under-Five Mortality in Cambodia: Analysis of the 2010 and 2014 Demographic and Health Survey
Vanthy L, Chhorvann C, Bunleng H and Sopheab H
Article Type: Original Articl e | First Published: October 14, 2019
Despite declining rates for children under five years of age (U5M) in the last ten years, developing countries continue to challenge to meet Sustainability Development Goals (SDG) target, including reducing neonatal mortality to 12 deaths, and U5M to 25 deaths per 1,000 live births, by 2030. Cambodia, located in Southeast Asia, recently been reclassified by the World Bank as a lower middle-income country. Cambodia U5M has declined over the last decade, and Cambodia achieved the Millennium Development Goals; however, reaching the more ambitious SDG targets for child health requires tracking of ...
Femur Stress - Can You Take It?
Saagar Patel, MD, Areeb Masood, MD, Girija Rajakumar, MD, Pritish Bawa, MD, Haitham Awdeh, MD and Manickam Kumaravel, MD
Article Type: Research Article | First Published: October 07, 2019
Outline the biomechanics and pathophysiology of stress-induced injuries to the femur. Provide various imaging presentations of stress injuries of the femur including radiographs, computed tomography (CT), and Magnetic resonance imaging (MRI). Understand treatment modalities, recognize complications and become proficient in avoiding pitfalls. This paper will discuss detailed macro and microanatomical features of the femur and associated soft tissues such as muscles, tendons, and cartilage. A review of biomechanics of the femur with consideration to the remodeling process of the femur will be pr...
Clinical Outcomes after Fixation, Arthroplasty and Resection for Treatment of Comminuted Fracture Radial Head: A Systematic Review and Network Meta-Analysis
Kornkit Chaijenkij, MD, Alisara Arirachakaran, MD and Jatupon Kongtharvonskul, MD, PhD
Article Type: Research Article | First Published: October 07, 2019
Radial head fractures make up approximately 3% of all fractures and they are the most common elbow fracture in adults. The treatment for comminuted radial head fracture remains controversial. This systematic review was conducted with the aim to compare the post-operative outcomes among surgical treatment and identify which method is the best for comminuted radial head fractures. Relevant studies were identified from Medline and Scopus from inception to August 18th, 2018 that reported Mayo elbow performance score (MEPI) and postoperative complications of either treatment. A network meta-analysi...
Nurses' Experiences of Caring for Patients with Tuberculosis - An Interview Study in Indonesia
Linda Byberg, RN, BSc, Karstin Vaster, RN, BSc, Margret Lepp, PhD, RN and Kristina Rosengren, PhD, RN
Article Type: Original Article | First Published: October 16, 2019
Tuberculosis, TB is an infectious disease affecting millions of people each year and Indonesia have the second highest prevalence in the world. The cure of TB is already existing but hence to factors such as long treatment with severe side-effects results in low compliance. The aim of the study was to describe nurse’s conceptions of caring for patients suffering from tuberculosis in Yogyakarta, Indonesia. To perform nursing, precautions and protection is significant even though medication for TB is free of charge. However, other economic factors remain as well as manage the complexity of TB ...
Drama, Leadership and Conflict Management to Support Nurse's Professional Development - A Qualitative Study in Indonesia
Kristina Rosengren, PhD, RN, Margret Lepp, PhD, RN and Widyawati, PhD, RN
Article Type: Original Article | First Published: October 07, 2019
A need exists for developing training interventions for nurses regarding conflict management and leadership to facilitate professional development. Therefore, we aimed to explore and describe the use of applied drama to support professional development with focus on nursing leadership and conflict management of nurses (practitioner, lecturer) in Indonesia. A need exists to developing training interventions for students in nursing education as well as for nurses regarding conflict management and leadership to improve professional development throughout the world. The competence to handle confli...
Streptococcus Agalactiae: An Unusual Agent of Inguinal Abscess
Abdurrahman Kaya, MD, Mehtap Turfan, MD, Acar Yurtbasi Nuran, Ekrem Sezgin, MD and Sibel Yildiz Kaya
Article Type: Clinical Image | First Published: October 17, 2019
Streptococcus agalactiae (group B streptococcus; GBS) is gram-positive bacterium frequently colonized in pharynx, gastrointestinal and female genital tract. While the microorganism is also responsible for a wide range of infections which include sepsis and meningitis in newborn and chorioamnionitis and urinary tract infection in pregnant women, the incidence of invasive GBS disease has appeared to increase among non-pregnant adults and those with significant underlying conditions in the recent years. The infections of patient with medical illness are a common encountering problem in clinical p...
Evolving Role of Liposomal Bupivacaine in Managing Post- Surgical Analgesia in Oral Surgery
Article Type: Review Article | First Published: October 05, 2019
According to the report from Department of Health and Human Services, dental caries is the most common chronic condition in childhood. But the prevalence of tooth decay is high in the adult population as well. Ultimately, untreated non-restorable decayed teeth require oral surgery. Additionally, surgical removal of impacted third molars (wisdom teeth) is a routinely performed procedure on a younger patient population. Approximately, 5 million people undergo extraction of third molars annually in the United States. Post-operative pain is common sequelae of oral surgery and limits function, ther...
The Use of Cytoplast Titanium Reinforced Membrane for Horizontal Guided Bone Regeneration Case Report
George Master, DMD, Eric Wood, DDS, Travis Scholer, DDS, Doug Beals, DMD, MS, Robert Carpenter, DMD and H Dexter Barber, DDS
Article Type: Case Report | First Published: September 20, 2019
Successful implant osseointegration is dependent primarily upon adequate bone quantity and quality at the desired implant site. But often times the implant candidate, after proper clinical examination and evaluation of the patient’s diagnostic information, lacks adequate bone quantity or volume for implant placement. Often times, the patients has adequate height of bone but lacks bone width. The ability to predictably generate horizontal bone or bone width in preparation for dental implants, or guided bone regeneration (GBR) is an important and necessary procedure, in implant site preparatio...
Robotic Radiosurgery to a Patient with Locally Advanced Cervical Cancer and Uterus Didelphys - A Case Report and Review of Literature
Janis Morgenthaler, Christhardt Kohler and Simone Marnitz
Article Type: Case Report | First Published: October 05, 2019
Consolidation brachytherapy is a critical treatment component for locally advanced cervical cancer. The use of alternatives (linac based stereotactic radiosurgery (SRS) or external beam (EBRT) boosts) on linacs compromise oncologic results in cervical cancer patients. Our patient, a 32-year old woman with a 5 cm FIGO IIB cervical cancer, had a uterus Didelphys and was therefore not suitable for intracervical brachytherapy. Instead, she received a brachytherapy emulating robotic radiosurgery boost using CyberKnife. 3 months after treatment she had a complete radiologic and pathologic response.....