Open Access DOI:10.23937/2377-3634/1410153
Epidermal Growth Factor Outperforms Placebo in the Treatment of Diabetic Foot Ulcer: A Meta-Analysis
Fazal Rahim, Xie Yan, Nida Bibi, Shah Nawaz and Yao Ming
Article Type: Meta Analysis | First Published: February 18, 2022
A diabetic foot ulcer is a life-threatening ailment caused by the widespread prevalence of diabetes. To overcome the inherent problem, several growth factors, as well as their various combinations, have showed promising effect in aiding diabetic foot ulcer healing. However, contradictory or paradoxical results are often available, debates about this issue have never ceased so far. Therefore, a comprehensive meta-analysis was performed to compare the efficacy and safety of epidermal growth factor...
Open Access DOI:10.23937/2378-2951/1410249
Patient Outcomes Cost, and Length of Stay Associated with Biventricular Assist Devices in the United States (2009- 2015)
Hyeon-Ju Ryoo Ali, Afshin Ehsan, Kevin Kennedy, Peter Riley, Angie Seo, Navkaranbir S Bajaj, Amitoj Singh, Frank Sellke, Daniel Levine, Michael Kiernan and Rayan Yousefzai
Article Type: Original Research | First Published: February 19, 2022
With recent advances in left ventricular assist device (LVAD) technology, the utilization of LVADs has increased while mortality, cost, and length of stay (LOS) have significantly decreased. This study sought to determine the national trends of surgically implanted biventricular assist devices (BiVADs). ...
Open Access DOI:10.23937/2572-407X.1510029
An Interesting Case of DeQuervain’s Thyroiditis
Arul Prakash Rajadurai
Article Type: Case Report | First Published: February 26, 2022
We present an interesting case of De Quervin’s Thyroiditis following Enteric fever with classical features of pain neck and hyperthyroidism ended up in Hypothyroidism. A 34-years-old women consulted surgeon for neck pain and swelling for 1 week, and expressed her fear of cancer of thyroid. She told that her distant relative had thyroid cancer. Surgeon noted a tender goitre, moving with deglutition, no nodules or nodes in the neck and mild features of hyperthyroidism like palpitation, tremor. H...
Open Access DOI:10.23937/2643-4148/1710019
Gesture Identification in a Person with Crossed Aphasia: A Case Study
Nikitha M and SP Goswami
Article Type: Case Report | First Published: February 24, 2022
Gesture and verbal language share a longstanding association due to which they have been studied together. These studies have much of a clinical importance in aphasia research. It is widely known that left hemisphere is involved in language processing and right hemisphere in visuo-spatial skills. Gestures being a visuo-spatial phenomenon become even more interesting to be studied in a person with right hemisphere lesion. We present case details of a 44-yearold female person with crossed aphasia ...
Open Access DOI:10.23937/2377-9004/1410218
Polycystic Ovary Syndrome (PCOS) Presenting with Delayed Menarche and Clitoromegaly
Sa’adatu T Sule and Shedrach Anekwe
Article Type: Case Report | First Published: February 17, 2022
Polycystic ovary syndrome can present with various features including delayed menarche, amenorrhoea, and enlarged clitoris, as was the case with the patient presented here. The diagnosis of PCOS can be challenging especially in young women and managing the condition may be complicated especially where metabolic effects such as type 2 diabetes occur as demonstrated in this case. A 22-year-old student presented in May 2018 with a history of amenorrhoea for one year. Her first menses was 2 years p...
Open Access DOI:10.23937/2643-4474/1710098
Ruptured Posterior Fossa Teratoma Mimicking Intracranial Haemorrhage: A Case Report
Maia Osborne-Grinter, MBChB, Julie Woodfield, PhD, Ana M Casado Lopez, LMS, Anna Solth, FCSEd (SN) and Mark A Hughes, PhD
Article Type: Case Report | First Published: February 12, 2022
Posterior fossa mature teratomas are rare congenital lesions that contain differentiated tissue from all three germ cell layers. The imaging characteristics can be highly variable, reflecting the variety of potential tissue types. A 22-year-old presented with headache, papilloedema, and diplopia. CT head showed a hyperdense lesion in the posterior fossa, initially suspicious of haemorrhage, with acute hydrocephalus. Digital subtraction angiogram was normal. MRI was suggestive of a melanin contai...
Open Access DOI:10.23937/2643-4474/1710097
Betablocker Use in Cerebral Proliferative Angiopathy: Case Report
Glaucia Suzanna Jong A Liem, Fernando Mendes Paschoal Junior, Feres Eduardo Aparecido Chaddad Neto, Eberval Gadelha Figueiredo, Manoel Jacobsen Teixeira, Edson Bor-Seng-Shu and Eric Homero Albuquerque Paschoal
Article Type: Case Report | First Published: February 10, 2022
We describe a case of cerebral proliferative angiopathy in a patient with frequent episodes of disabling headaches. The clinical details, radiographic and angiogram findings and medical management are reviewed. This is the first described cerebral proliferative angiopathy case in which we noticed shrinkage of a vascular lesion with the use of a betablocker. A 29-year-old young man attended the neurosurgery outpatient clinic with a chief complaint of headache, mild cognitive impairment, and inter...
Open Access DOI:10.23937/2572-4193.1510114
A Stony Coincidence in the Nose Mimicking Nasopharyngeal Carcinoma
Eric Wang Yuan Li, MBBS, Siti Halimahtun Sahab, MBBS, MSORL-HNS, Mas Ayu Baharudin, MBBS, MSORL-HNS, Noorizan Yahya, MBBCh, MSORL-HNS and Mohamad Khir Abdullah, M.D, MSORL-HNS
Article Type: Case Report | First Published: February 17, 2022
The number of adult cases of rhinolith is uncommon. Rhinoliths are hard stony mass that are found in the nose that can progress over a long period of time leading to nasal symptoms and sometimes ear symptoms. This is a case report of a 40-year-old lady that came with unilateral tinnitus and blood stained rhinorrhea, but on further investigation was found to have rhinolith mimicking symptoms of nasopharyngeal carcinoma due to the position of the rhinolith in the fossa of Rosenmuller. A 40-year-ol...
Open Access DOI:10.23937/2572-3243.1510109
Muscle Care™ Pain Relief Therapy vs. Voltaren® in the Relief of Trapezius Trigger Point Musculoskeletal Pain: A Placebo Controlled, Randomized, Double-Blinded Controlled Trial
Jack M Goodman, PhD, Ryan T Sless MSc, MB BCh, BAO and Brett P Guist BHSc, MS, DC
Article Type: Research Article | First Published: February 10, 2022
Compare differences in pain pressure threshold (PPT) at an identified myofascial trigger point in the upper trapezius muscle amongst office workers after the application of various topic analgesic products. Participants were recruited from their workplaces and assigned to a treatment arm, with both participant and investigators blinded. Baseline measurements of participants’ PPT obtained, and VAS used to determine pain severity. One of 6 treatments was applied with reassessment of PPT 7 minute...