Economic Evaluation of Mammography-Based Breast Cancer Screening Program in Saudi Arabia
Awadh Alqahtani, MD, FRCSC
Article Type: Research Article | First Published: November 02, 2020
Breast cancer is the commonest malignancy among Saudi women, accounting for 23.6% of all female cancers. It has been the most frequent cancer in Saudi women for the last 30 years. The economic analysis of mammography screening carried out as a cost-effectiveness analysis. A decision tree based on a Markov model used in estimating effectiveness and costs. The purpose of the model is to integrate the following parameters: Screening costs, diagnostic costs, health care costs, discount rate and pote...
Anti-PL-12 Associated Antisynthetase Syndrome-A Less Recognized Clinical Entity
Melcy Cleetus, Dantis Emmanuel, Rajesh Venkitakrishnan, Jolsana Augustine and Divya Ramachandran
Article Type: Case Report | First Published: November 06, 2020
Interstitial lung diseases, (ILD) or diffuse parenchymal lung diseases (DPLD) are umbrella terms used collectively to denote aetiologically heterogeneous group of disorders sharing clinical, radiographic and physiologic similarities. The treatment choices and prognosis vary substantially among the different causes of ILD and hence determining the correct etiology is of paramount importance. Connective tissue diseases are important causes of DPLDs and ILD is an important cause of morbidity and mo...
Novel Technique of Wire-Guided Retrograde Esophageal Dilatation in Infants Using Feeding Tubes: The “DRIFT” Technique
Ravi Patcharu, MS, MCh, Karunesh Chand, MS, MCh and Badal Parikh, MD
Article Type: Research Article | First Published: November 05, 2020
Esophageal dilatation is the modality of choice for managing anastomotic stricture after primary repair of esophageal atresia (EA). Balloon dilatation over guide wire is the preferred technique with minimal chances of mucosal erosion. In some cases of tight strictures, safe antegrade dilatation becomes impossible if the guidewire cannot be negotiated across the stricture. In such situations, retrograde dilatation is a safer alternative to avoid another thoracotomy for stricture resection and ana...
Footwear for Psoriasis and Psoriatic Arthritis: A Systematic Review
Hunter Loewen, BSc, Madeline S. Wilton-Clark, BSc, Shea Quilichini, BSc, Lauren C. Capozzi, MD, PhD and Ryan T. Lewinson, MD, PhD
Article Type: Review Article | First Published: October 31, 2020
Psoriasis and psoriatic arthritis (PsA) can affect the skin and musculoskeletal structures of the feet, raising the consideration of whether footwear has a role in clinical management. We summarized available evidence on how footwear (shoes, orthotics, insoles, and socks) can be utilized to supplement control of clinical symptoms in patients with psoriasis and PsA. Four electronic databases were searched for articles reporting on patients with psoriasis or PsA and outcomes pertaining to the impa...
A Case Report of Spontaneous Pregnancy in a Mosaic Turner Syndrome Patient
Abdelrahman Yousif, Madeline Wheatley and Moustafa A Abuzeid
Article Type: Case Report | First Published: November 04, 2020
1 in every 2500 females is born with turner syndrome (TS), a result of chromosomal abnormalities of the X chromosome. A common symptom of this syndrome is infertility due to ovarian dysgenesis. This case report will detail a spontaneous pregnancy in a 22-year-old female Gravida 1 Para 0 (G1P0) patient with mosaic Turner syndrome. At 34 weeks 0 days, she presented for her prenatal appointment with a past medical history significant for mosaic Turner syndrome diagnosed in her teens after a diagnos...
Factors Associated with Not Being Tested for HIV among MSM Population in Bamako, Mali
Telly N, Sangho O, Ballo T, Maiga M, Lahuerta M, Padmaja P, Diawara F, Tounkara M, Traore B, Traoré S and Doumbia S
Article Type: Original Article | First Published: October 28, 2020
Men who have sex with men (MSM) are known to have a higher risk of being infected by HIV. Clinical and public health programs need to incorporate strategies to increase regular HIV testing among MSM in order to control and prevent new infections. A cross-sectional bio-behavioral survey among MSM in Bamako, Mali, was conducted using respondent- driven sampling to study factors associated with not being HIV tested in this vulnerable population. The study participants were ≥ 18-years-old and had ...
Gait Disorders in Older Adults - A Structured Review and Approach to Clinical Assessment
Joseph O Nnodim, MD, PhD, FACP, AGSF, Chinomso V Nwagwu, MD and Ijeoma Nnodim-Opara, MD, FAAP
Article Type: Structured Review | First Published: October 23, 2020
Human beings propel themselves through their environment primarily by walking. This activity is a sensitive indicator of overall health and self-efficacy. Impairments in gait lead to loss of functional independence and are associated with increased fall risk. This structured review examines the basic biology of gait in term of its kinematic properties and control. It describes the common gait disorders in advanced age and proposes a scheme for their recognition and evaluation in the regular ambu...
Splenic Hematoma as a Rare Complication of Endoscopic Retrograde Cholangiopancreatography
Kulvinder S Bajwa, MD, Anirudh K Madabhushi, MBS, Nadim Jafri, MD, Shinil K Shah, DO and Melissa M Felinski, DO
Article Type: Case Report/Clinical Image | First Published: October 29, 2020
Splenic hematoma after endoscopic retrograde cholangiopancreatography (ERCP) is a rarely reported complication. We describe a patient who developed acute blood loss anemia after ERCP and was found to have a splenic hematoma. She recovered successfully with conservative non operative management. We describe the incidence, diagnosis, potential preventive strategies, as well as management of this rare complication. The patient is an 83-year-old woman with congestive heart failure, hypertension, gas...
A Systematic Approach in Restructuring Elective Breast & Endocrine Cancer Surgery during COVID-19 Pandemic in Malaysia
Tan Yee Ling, Aminnur HM, Nor Safariny Ahmad, Sadhana Mahamad, Anita Baghawi, Jamil Omar and Suhaila Md Hanapiah
Article Type: Research Article | First Published: October 31, 2020
The COVID-19 pandemic had resulted in major disruptions in healthcare globally. As a response to the outbreak, global elective surgeries were suspended to preserve resources. To date, Malaysia’s effectiveness in tackling the COVID-19 was an instructive example for many East Asia countries. In addition to the public health preparedness, we report our experience in early restructuring of elective breast and endocrine cancer surgery to ensure a continuum in cancer care during the peak of the pand...
CANOMAD: A Multi-Faceted Disease
Júlia Machado Rickli, Gabriela Pomaleski and Marcus Vinícius Magno Gonçalves, MD PhD
Article Type: Non-Systematic Review | First Published: October 30, 2020
CANOMAD is a rare syndrome that belongs to the group of peripheral neuropathies associated with IgM monoclonal gammopathy. This acronym was first used in 1996 to describe the clinical features of the disease, which include: Chronic sensory ataxic neuropathy, ophtalmoplegia, M-protein with cold-agglutinin activity and anti-disialosyl antibodies. The syndrome’s physiopathology is not fully understood, but, according to the available researches, it will be expressed in patients whose serum contai...