Open Access DOI:10.23937/2469-5750/1510091
Diffuse Cutaneous Systemic Scleroderma with Secondary Infection: A Case Report
Anastasia Wibianto and Irene Dorthy Santoso
Article Type: Case Report | First Published: November 30, 2020
Scleroderma (systemic sclerosis or SSc) is a connective tissue disease of unknown cause, characterized by skin and visceral organs fibrosis and microvascular abnormalities. The prevalence of these patients is relatively low with 50- 300 cases per 1 million population and the incidence of 2.3- 22.8 cases per 1 million population per year. The risk for women is higher than men with a ratio of 3:1 and majority age 30-50 years. Diagnosis is based on clinical features and investigations. Management i...
Open Access DOI:10.23937/2572-3286.1510059
Outcomes of Complex V/S Simple Vascular Anatomy Grafts Following Living Donor Renal Transplant - Experience from a Tertiary Care Center
Asuri Krishna, Umar Maqbool, Mayank Jain, Om Prakash, Subodh Kumar, V Seenu, Sandeep Mahajan, Sanjay Aggarwal and Virinder Kumar Bansal
Article Type: Original Article | First Published: December 04, 2020
Living donor renal transplant with grafts having complex vascular anatomy is technically difficult with higher complications. We herein present our experience of complex vascular anatomy living donor renal grafts as compared to grafts with simple vascular anatomy. The is a retrospective comparative analysis of a prospectively maintained database of all the patients undergoing live related renal allograft transplant from January 2015 till Dec 2019. All adult transplants with graft with complex va...
Open Access DOI:10.23937/2469-570X/1410071
Loss of Tissue Regenerative Capacity in Aging - The Tendon
Pedro Carvalho Sá, Margarida Pimenta Queiroz Valério, Inês Monteiro Ferro Inês Campos and Lina Carvalho
Article Type: Original Article | First Published: December 10, 2020
Intrinsic to the process of aging is the loss of the ability to regenerate of different organs and tissues, becoming more susceptible to aggression and impaired function. Tendon aging is a complicated process following, however, similar mechanisms of other tissues - proposed model of the “Hallmarks of Aging”, by López-Otín, et al. Tendon structure and cellular composition is also unique, which makes scientific research in this field both a very specific and select task. Mesenchymal Stem Ce...
Open Access DOI:10.23937/2378-346X/1410120
Can We Use an Intravenous Cannula as an Alternative Guide Material in Some Eye Operations?
Titap Yazıcıoğlu and Şaban Şimşek
Article Type: Original Research | First Published: December 02, 2020
The metal probes of the silicone tube that we use in dacryocystorhinostomy operations can sometimes break off during the surgery. In order to prevent material waste by opening the second tube, or sometimes the 2nd tube is not available, we tried to use 18-gauge, intravascular catheter as a guide material. And after removing the port part of the catheter, it is introduced together with the lacrimal prob into the punctum and advanced to the rhinostomy site and then silicone tube inserted into the ...
Open Access DOI:10.23937/2378-3672/1410056
Evaluation of Cross-Reactivity of Suidasia pontifica with Allergens Blo t 5 from the Blomia tropicalis Mite
Francisca das Chagas Sobral Silva, Daniel Vasconcelos R Silva, Anderson Bruno Matos, Andrea Medeiros Salgado and Maria Queiroz
Article Type: Original Research | First Published: November 30, 2020
The immunological cross-reactivity between different species of dust mites such as Suidasia pontifica and Blomia tropicalis is a factor that can favor an immunotherapeutic treatment, having so great clinical relevancy. However, the pretreatment of the raw extract can potentialize its response as in the cross-reactivity analysis. Therefore, this paper seeks to pre-treat the Suidasia pontifica extract in order to obtain protein fractions by the “salt out” method and then evaluate the presence ...
Open Access DOI:10.23937/2474-3674/1510112
Extracorporeal Membrane Oxygenation (ECMO) Transpires to be a Promising Surrogate Therapy for Severe Refractory near Fatal Asthma: A Case Report
Ali Al Bshabshe, MD, FRCP, Omprakash Palanivel, Mohammed Amer Bahis, Nasser Mohammed Alwadai, RRT and Ali Mushabebassiri
Article Type: Case Report | First Published: December 03, 2020
The standard first-line therapy for severe asthma exacerbation is bronchodilators and corticosteroids. Any patients not responding to this standard therapy often needs invasive ventilation, which can promote numerous related complications and mortality. Recent studies conclude that ECMO can be adopted as an alternative approach as it significantly enhances the survival rate in severe respiratory failure compared to standard invasive ventilation. In contrast, ECMO effectiveness in near-fatal asth...
Open Access DOI:10.23937/2378-2951/1410205
A Case of ST-Elevation due to a Primitive Extracardiac Origin in a Cancer Patient: Differential Diagnosis and Review of Literature
Amabile Valotta, MD, Lorenzo Grazioli Gauthier, MD, Laura Anna Leo, MD, Manuela Averaimo, MD and Marco Moccetti, MD
Article Type: Case Report | First Published: December 05, 2020
This case is about a 65-year-old man with a diagnose of stage IV Thymic Carcinoma in 2012, with two recurrences and past surgical treatment followed by radiation and chemotherapy. From that time, CPAP addicted for respiratory failure. He went to emergency department with worsening dyspnoea in the last few days. The ECG showed an ST-elevation in DI-aVL and V4-V6 suggesting an Acute Coronary Syndrome (ACS). The emergency coronary angiogram showed no significant coronary artery stenosis. The transt...
Open Access DOI:10.23937/2572-407X.1510022
The Impact of Glucose Load and Worse Metabolic Status Post Initiation of Peritoneal Dialysis
Nadiya Al Rahbi, Issa Al Salmi, Sadiq Abdul Baqi, Muna Al Bulushi and Suad Hannawi
Article Type: Research Article | First Published: December 03, 2020
End-Stage Kidney Disease (ESKD) has a major effect on global health, both as a direct cause of global morbidity and mortality. Peritoneal Dialysis (PD) utilization increases gradually due to increase of patient’s awareness for different types of RRT. Glucose constitutes the main component of the PD fluid utilized by the patients. In this study, we aim to evaluate the various demography and clinical and laboratory data before and a year after initiation of PD and determine the impact of glucose...