Open Access DOI:10.23937/2643-4148/1710018

Fraser Syndrome, Evaluation of the Laryngeal and Voice Characteristics: A Case Report

Seyed Abolfazl Tohidast, PhD and Banafshe Mansuri, PhD

Article Type: Case Report | First Published: November 30, 2020

Fraser syndrome is one of the rare congenital anomalies occurring when fingers or toes, and eyelid formation fail to separate during pregnancy. The purpose of this paper is to report the results of laryngeal and voice evaluation in a patient with Fraser syndrome. The case is an eleven-years-old girl with Fraser syndrome who underwent laryngeal examination with laryngoscopy and also auditory-perceptual and acoustic voice characteristics evaluations. The results of the laryngoscopy showed that the...

 Open Access DOI:10.23937/2469-5777/1510084

Gunshot Abdomen in a Patient with Situs Inversus Totalis

T Gvilia, MD, FS, PhD and M Tun, FCR, FCS

Article Type: Case Report | First Published: December 05, 2020

Situs inversus totalis is a congenital condition in which major visceral organs are reversed or mirrored from normal position. The incidence accounts from 1/8000 to 1/25000 live born infants. Individuals with situs inversus can live normal healthy lives, without any complications related to their medical condition. Initial examination of an abdomen showed gunshot wound on left upper quadrant of anterior axillary line, without outlet. Tenderness mostly upper part, non-distended, no peritoneal sig...

 Open Access DOI:10.23937/2643-3907/1710046

Balancing Facial Muscle Forces in Surgical Procedures with Botulinum Toxin: A New Vision

Hermes Pretel, Daniel Nastri de Luca, Déborah Laurindo Pereira Santos, Luiz Henrique Torres, Renato Torres Augusto Neto, Yuliana Del Pilar Vega Chacón and Raphael Capelli Guerra

Article Type: Short Commentary | First Published: November 30, 2020

Although the discovery of Botulinum Toxin is not recent, its application with functional and aesthetic purpose in the dental environment is considered new, and presents itself as an effective tool in treatments. One of the main highlights has been the assistance to pre-surgical preparations, as a way to improve the effectiveness of treatment, attenuating local muscle forces that may lead to a relapse or the failure of treatment. This topic is widely discussed, and suitable for all types of surge...

 Open Access DOI:10.23937/2643-4474/1710047

Virtual Reality Image Processing for Effective Deep Brain Stimulation of the Anterior Thalamic Nucleus in Epilepsy Patients

Crystal N Adams, MD, Mohamad Z Koubeissi, MD, Aalap Herur-Raman and Donald C Shields, MD, PhD

Article Type: Case Report | First Published: November 28, 2020

Deep brain stimulation of the anterior thalamic nucleus for treatment of pharmacoresistant epilepsy is a surgical option for patients who are not candidates for resective surgery. One of the challenges of this technique relates to the small size of the anterior thalamic nucleus (approximately 10 mm × 5 mm × 5 mm). Stimulation several millimeters outside the intended target provides suboptimal seizure control. One option for achieving accurate stimulation includes the use of virtual reality sof...

 Open Access DOI:10.23937/2643-4474/1710046

Case Report: A Rare Case of Penetrating Trauma of Frontal Sinus with Anterior Table Fracture

Himanshu Raval, Mona Bhatt and Nihar Gaur

Article Type: Case Report | First Published: November 25, 2020

Head injury is common component of any road traffic accident injury. Injury involving only frontal sinus is uncommon and unique as its management algorithm is changing over time with development of radiological modalities as well as endoscopic intervention. Frontal sinus injuries may range from isolated anterior table fractures causing a simple aesthetic deformity to complex fractures involving the frontal recess, orbits, skull base, and intracranial contents. Only anterior table injury of front...

 Open Access DOI:10.23937/2572-4053.1510030

Correlation between Obstructive Sleep Apnea Syndrome, Arrhythmias and Autonomic Cardiac Activity: A Retrospective Case-Control Study

Cristina Anna Maria Lo Iacono, Enrico Reali, Paolo Perciballi and Mauro Cacciafesta

Article Type: Short Comunication | First Published: November 18, 2020

Obstructive sleep apnea (OSA) is a sleep respiratory disorder characterized by an intermittent complete or partial collapse of the upper airways, resulting in apnea and hypopnea events. Breathing pauses cause acute adverse effects including oxyhemoglobin desaturation, changes in blood pressure and heart rate, increased sympathetic activity, cortical arousals (micro awakenings) and sleep fragmentation. There is limited evidence to support the fact that mild OSA can have negative health consequenc...

 Open Access DOI:10.23937/2572-4053.1510029

Visualizing of Upper Respiratory Tract during Physiologicaly Sleep

Arman Afrashi

Article Type: Case Report | First Published: November 14, 2020

Obstructive sleep apnea is a disease consisting of episodes of partial or complete closure of the upper airway that occur during sleep and lead to breathing cessation defined as a period of apnea more than 10s. Symptom include restlessness, snoring, recurrent awakening, morning headache and excessive day time sleepiness. Diagnosis of obstructive sleep apnea is based on sleep history and polysomnography. Continuous positive airway pressure (CPAP) is the gold-standard treatment in severe OSAS. In ...

 Open Access DOI:10.23937/2474-3658/1510179

Small Viral Particle Aerosol Transmission of SARS-CoV-2, Influenza A and Measles: Dual Pandemics, Outbreaks and Public Health Protection with the Use of Face Shields and Face Coverings

Cameron Y S Lee, DMD, MD, PHD, MPH, MSEd

Article Type: Research Article | First Published: November 27, 2020

As the Covid-19 pandemic (SARS-CoV-2) continues to spread globally, the influenza virus circulates in communities capable of causing significant morbidity and mortality. Further, measles outbreaks are common events as well and may trail right behind the coronavirus that causes Covid-19 and the influenza virus. Recent aerosol studies have now demonstrated that respiratory pathogens less than 5 micrometers are able to be transmitted from human-to-human capable of causing great morbidity and mortal...

 Open Access DOI:10.23937/2474-3658/1510178

Seroprevalence of Hepatitis B and C and Associated Risk Factors among HIV-1 Infected Patients in a High Risk Border Region of South West Cameroon

Adamu Ndongho Ndifontiayong, Innocent Mbulli Ali, Jerimiah Mbogwe Ndimumeh, Jean Baptiste Sokoudjou, Jules-Roger Kuiate and Christopher Bonglavnyuy Tume

Article Type: Original Article | First Published: November 27, 2020

Coinfection of HIV with human retroviruses such as hepatitis B (HBV) and hepatitis C (HCV) has been associated with adverse liver disease outcomes including reduced survival, cancer and antiretroviral induced hepatotoxicity. In this study, we evaluated the prevalence of hepatitis B surface antigen (HBsAg) and hepatitis C antibody (HCVAb) among HIV-infected individuals diagnosed within six months in South West Cameroon and identified risk factors of coinfection. We performed a systematic screenin...

 Open Access DOI:10.23937/2469-5858/1510105

An Ounce of Prevention: Reducing the Risk of COVID-19 Transmission in Long-Term Care Facilities

Robert J Fischer, MD, Kimberly K Morris, MD, Luke A McCorkel, BA, MA, Steven M Case, RN, BSN, CCM, ACM-RN, Hieu H Pham, RN, BSN and Brian G Henneman, PE

Article Type: Original Article | First Published: December 05, 2020

Determine LTCF risk factors for a COVID-19 outbreak and recommend strategies for closing gaps in facility preparedness through a multidisciplinary team assessment carried out on site. Data was obtained during visits to 14LTCFs, completion of a standard assessment tool through interviews with site staff and leadership and tours of the facility campus. In all five dimensions of preparedness (staffing, professional medical support, infection control, engineering controls and testing), the degree of...