Open Access DOI:10.23937/2572-3235.1510094

Percutaneous Management of Inadvertent Subclavian Artery Central Line Insertion Using Angioseal Vascular Closure Device

Abdulaziz Almat'hami, MD, Abdulwahed Alruhaimi, MD, Ali Rajeh, MD, Hatim Alobaidi, MD, Sultan Alammari, MD, Hassan Alshehri MD, Othman Alshehri, MD, Nayef Alqahtani, MD, Ahmed Al Mutairi, Faisal Alahmari, MD

Article Type: Case Report | Publication Updated: July 07, 2022

This is a 90-years-old lady known diabetic and hypertensive, who presented to emergency room with signs and symptoms of septic shock on top of pneumonia and urinary tract infection. The primary assessment mandates a central venous access for rapid Intravenous hydration and antibiotics treatment....

 Open Access DOI:10.23937/2378-3419/1410172

Proposed Biology of the Spontaneous Remission of Merkel Cell Carcinoma after Biopsy

Behzad Niakan

Article Type: Letter to Editor | Publication Updated: July 08, 2022

The medical literature has many case reports of the spontaneous remission of Merkel cell carcinoma after biopsy. It is noteworthy that prior to the biopsy the Merkel Cell Carcinoma was growing rapidly. It is suggested that the biopsy has possibly resulted in the breakage of a vessel and blood loss within the malignant tissue....

 Open Access DOI:10.23937/2378-3419/1410171

The Impact of Chemotherapy Schedule Modification on Survival Outcome among Breast Cancer Patients Receiving Adjuvant or Neoadjuvant Treatment Modalities

Gobi Hariyanayagam Gunasekaran, Wan Mohd Akmal Bin Wan Sabri, Shargunan Selvanthan Gunasekaran, Sera Selvanthansundram Gunasekaran and Kavisha Selvarajoo

Article Type: Research Article | Publication Updated: July 08, 2022

Chemotherapy schedule has been reported to increase the risk of suboptimal outcomes among cancer patients receiving chemotherapy with variying outcome between treatment modality. This study investigates the Overall Survival (OS) and Hazard of Death (HR) of breast cancer patients with chemotherapy schedule modification stratified against adjuvant (ACT) and neoadjuvant (NACT) treatment modalities....

 Open Access DOI:10.23937/2378-3419/1410170

Oncology and Reproductive Outcomes Over Sixteen Years of Malignant Ovarian Germ Cell Tumors Treated with Fertility Sparing Surgery

Muangloei Rungoutok, MD and Prapaporn Suprasert, MD

Article Type: Original Article | Publication Updated: June 30, 2022

Malignant Ovarian Germ Cell Tumors (MOGCT) are rare and frequently occur in the young reproductive age and the oncologic and reproductive outcome after Fertility-Sparing Surgery (FSS) this disease is still limited....

 Open Access DOI:10.23937/2378-3419/1410169

Carcinosarcoma EX Pleomorphic Adenoma of Parotid: An Unusual Entity, A Report of Two Cases with Brief Review of Literature

Aparna Devi, MD, DM, Usha Amirtha, MD, Geeta V Patil Okaly, MD and Raghavendra HV, MD

Article Type: Case Report | Publication Updated: June 30, 2022

A 58-year-old male, underwent total parotidectomy for longstanding preauricular swelling. Histomorphology revealed a biphasic neoplasm composed of carcinoma with plasmacytoid morphology and osteosarcoma in the background of pleomorphic adenoma. Carcinoma component was confirmed to be myoepithelial carcinoma by immunohistochemistry. The patient presented with local recurrence two months later....

 Open Access DOI:10.23937/2469-5831/1510048

A New Modified Liu Ridge-Type Estimator for the Linear Regression Model: Simulation and Application

Olasunkanmi J Oladapo, Abiola T Owolabi, Janet I Idowu and Kayode Ayinde

Article Type: Original Research | Publication Updated: July 09, 2022

Several efforts have been made to solve the multicollinearity problem, which arises from correlated regressors in the linear regression model. This is because the Ordinary Least Squares (OLS) Estimator becomes inefficient in the presence of multicollinearity....

 Open Access DOI:10.23937/2469-5831/1510047

Development of a Novel Retrospective Instrument to Gauge the General Well-being Index and Lumbar Specific Disability Index Post Intervention in Lumbar Degenerative Disease

Song Ying Chong, MBBS, Mahmoud Danaee, PhD and Dharmendra Ganesan, FRCS

Article Type: Original Article | Publication Updated: July 04, 2022

The clinical outcome data for patients who had a particular intervention for the lumbar degenerative disease is based on changes in symptomatology. This functional data had been acquired in a prospective manner using standard tools e.g., ODI, RMQ, SF-36 etc. Such data may be lacking in many facilities of developing countries due to various reasons....

 Open Access DOI:10.23937/2377-4630/1410142

Review of Literature: Efficacy of Intraoperative Intravenous Methadone in Reducing Postoperative Opioid Consumption

Praveen Karunanidhi

Article Type: Review Article | Publication Updated: July 08, 2022

This article will review the current literature on the efficacy of intraoperative intravenous methadone in reducing postoperative opioid consumption in bariatric, ambulatory, complex spine, and cardiac surgeries....

 Open Access DOI:10.23937/2377-4630/1410141

Intraoperative Transesophageal Echocardiography Leading to Changes in Surgical Management in the Setting of Infective Endocarditis

Stephanie Opusunju Ibekwe, Noel Shaheen Jeffrey and Shannon Walter Schwenke

Article Type: Case Report | Publication Updated: June 29, 2022

Infective endocarditis (IE) is a potentially lifethreatening disease process that may result in several long-term sequelae. Transthoracic echocardiography (TTE) may be inadequate to diagnose IE in up to 20% of patients secondary to poor image quality or the inability to identify all lesions present....

 Open Access DOI:10.23937/2377-4630/1410140

Opioid Free Anesthesia with Goal-Directed Strategies Based On Monitoring For Spine Surgery in a Patient with Opioid Intolerance: A Case Report

Dornelles Marco and Dornelles Larissa

Article Type: Case Report | Publication Updated: June 29, 2022

This study aimed to report the use of a multimodal anesthetic (MA) regimen by combining panoply of drugs without opioids for posterior spinal fusion surgery in a patient with low-back incapacity and opioid intolerance....