Betel Quid Chewing in the Mid-Atlantic United States: Any Consequence?
Thaddeus S Boucree MD, DDS and Eric I Chang, MD, FACS
Article Type: Case Report | First Published: February 17, 2021
According to the NYU Center for the Study of Asian American Health, the New York City Metropolitan area is home to the largest concentration of South Asians in the United States. The chewing of betel quid related products is common to these immigrants from countries including India, Pakistan, Bangladesh, Sri Lanka, Nepal, Bhutan, and the Maldives among others. Betel quid and its constituent areca nut are known risk factors for many oral and esophageal cancers. However, the lack of awareness rega...
Vaginitis: Etiology and Role of Oxidative Stress, Inflammation and Antioxidants Therapy
Fazele Heydarian Moghadam, Mojgan Tansaz, Soheila Aminimoghaddam, Homa Hajimehdipoor and Hamed Hosseini
Article Type: Review Article | First Published: March 08, 2021
Vaginitis is an inflammation process which can be caused by multiple factors and conditions. Although pathological effects of vaginitis have been widely considered, molecular and cellular mechanisms for these pathologies are not well understood. Identification of underlying mechanisms and signaling pathways related to vaginitis gives us valuable information regarding the way for developing a better clinical approach and disease treatment. General complications include preterm labor, urinary trac...
Type 3 Transformation Zone of the Cervix and Risk of Missed Lesions during Cervical Cancer Screening with Visual Methods: A Case Report from Cameroon
Simon M Manga, PhD, Alan T Tita, MD, PhD, Warner K Huh, MD, Calvin Ngalla, BNS and Margaret I Liang, MD, MS
Article Type: Case Study | First Published: March 22, 2021
Type 3 transformation zone (TZ) of the cervix poses a challenge in cervical cancer screening with visual techniques because of the potential for missing important precancerous lesions. This paper presents two case reports of women with Type 3 TZs who were screened with visual methods at the Cameroon Baptist Convention Health Services, had reassuring screening results, but presented soon after with invasive cervical cancer (ICC)....
Guillain-Barré Syndrome Complicating First Trimester Pregnancy: A Case Report and Review of Literature
Aniska W Fortuin, Anne-Lotte F van der Kooi, Laus JMM Mulder and Irene AM van der Avoort
Article Type: Case report and Review of Literature | First Published: March 18, 2021
Guillain-Barre syndrome (GBS) is a rare immune mediated polyradiculoneuropathy, causing muscle weakness, hyporeflexia and dysesthesia. There is no specific guideline for management of GBS during pregnancy in general and first term in particular. We report a 26-year-old nullipara who developed GBS in early pregnancy and present an overview of recommended treatment, maternal and fetal outcomes and pathogens associated with GBS in women diagnosed in first trimester pregnancy. We performed a systema...
Primary Endonasal Dacryocystorhinostomy - Impact of Multiple Factors on the Outcome
Ângelo Miguel Carvalho, Francisco Patrão, Márcia Mourão, Catarina Almeida, Luis Pinto, Vera Soares and Rui Tavares
Article Type: Review Article | First Published: March 22, 2021
Endoscopic dacryocystorhinostomy (en-DCR) is the mainstay of treatment of patients with nasolacrimal duct obstruction, with current success rates above 90%. Our aim was to evaluate multiple demographic and technical factors and estimate its influence on the outcome of en-DCR. We performed a retrospective review of the clinical records of patients submitted to a DCR at the Lacrimal Surgery Unit of the Centro Hospitalar Tondela-Viseu between June 2010 and December 2018, and collected data on demog...
Acute Sacral Fracture in Middle-Aged Woman with Idiopathic Inflammatory Myopathy
Adib Rushdan, Christopher Varghese and Emma Schanzenbach
Article Type: Case Report | First Published: March 13, 2021
A 54-year-old African American Female presented to the ED reporting a fall after slipping on water with initial CT images of her pelvis showing a minimally displaced right sacral fracture (Figure 1 and Figure 2). The right anterior superior iliac spine changes seen on CT were previously noted on imaging from a different hospitalization. She had both an elevated Creatine Kinase (CK) (2758 U/L) and AST (411 IU/L) level. The patient was admitted for observation for 24 hours to have Orthopedic Surge...
Unholy Interlocking of Government, Corporate, and Medical Dogma Sacrifices Lives - The Semmelweis Saga Resurrected
Robert Jay Rowen, MD
Article Type: Editorial | First Published: March 27, 2021
Some two centuries ago, Ignaz Semmelweis observed that hand washing with a chlorinated lime solution (an oxidizing agent) would curb infection mortality related to the maternity ward. He was scorned and castigated by his peers for daring to suggest hand washing between dissecting cadavers and delivering babies. Medicine should have learned from this debacle. Has it? Today we face unprecedented crises in infectious diseases. Pharmaceutical antibiotic drugs that ushered in the medical era are bein...
Guinea Worm Infection of Human Cases in Gog District of Gambella, South West Ethiopia: 2020 - A Case Report and Literature Review
Abreha Addis Gesese and Endale Zenebe Behire
Article Type: Case Report and Literature Review | First Published: March 27, 2021
Dracunculiasis or Guinea worm disease (GWD) was reported consistently as low level transmission, including few infections in animals in Southwest Ethiopia. Despite the aggressive implementation of eradication efforts in Ethiopia, there exist signs of re-emergence. Therefore, this study was aimed to present six GWD of human suspected cases in Gog District of Anywak Zone, Gambella Region, Southwest Ethiopia, 2020. This study presented 6 suspected human GWD cases with emerging worms among 4 female ...
Epidemiologic Survey of HBV, HCV and HIV Infections in a Pregnant Women Population in Central Nigeria: A Cross-Sectional Study
Victor B Oti, Isa H Mohammed, Yahaya Ibrahim, Chindo Ibrahim, Iboro Orok, Yakubu Y Saje, Attah A Ambrose and Muriana Olotu
Article Type: Research Article | First Published: February 27, 2021
Parallel and overlapping of HBV, HCV and HIV infections in pregnant women is a major public health problem. In this cross-sectional study, we evaluated the parallel and overlapping infections of HBV, HCV and HIV among pregnant women population in Keffi, Central Nigeria between June through August 2019. Four hundred (400) women blood specimens were collected from major Hospitals in Keffi for the study after informed consent and ethical approval were retrieved and a structured questionnaire was ad...
Acute Cholecystitis: Comparison of Clinical Findings from Ultrasound and Computed Tomography
Teruyoshi Oda, Masakatsu Tsurusaki, Isao Numoto, Yukinobu Yagyu and Kazunari Ishii
Article Type: Original Research | First Published: March 19, 2021
Acute cholecystitis is a common surgical emergency, for which ultrasound (US) is the most common first-line diagnostic imaging test. Computed tomography (CT) is an alternative or complementary test for the assessment of acute cholecystitis. Acute cholecystitis is diagnosed based on clinical history and assessment, biochemical examination, and US findings. CT is considered only in case of unclear clinical symptoms or discrepant findings. We aimed to retrospectively compare the efficiency of CT an...