Open Access DOI:10.23937/2377-4630/1410113
Trans-Thoracic Echocardiography during VA-ECMO: May the Supra-Sternal Notch View Detect a Too-Proximally Watershed Area?
Enrico Giustiniano, MD and Maurizio Cecconi, MD, FRCA, FFICM, MD(Res)
Article Type: Case Report | First Published: November 19, 2020
Veno-Arterial Extra-Corporeal Membrane Oxygenation (VA-ECMO) in adults has grown over the last decades as a life-saving procedure. Trans-thoracic (TTE) and trans-esophageal (TEE) echocardiography are recommended tool to manage such cases. A 35-years-old female patient suffering from myocarditis after bone marrow transplant for lymphoblastic leukemia underwent V-A ECMO due to a severe Left Ventricle disfunction which developed abruptly. Given the rapid clinical worsening we opted for the extracor...
Open Access DOI:10.23937/2643-4016/1710022
Arm Wrestling Related Injuries: A Literature Review
Taner Sahin
Article Type: Review Article | First Published: November 21, 2020
Arm wrestling is increasing in popularity and is practised mostly among young people as a recreational or professional sport. During this sport, it can cause various injuries in the muscles, ligaments, veins and radial nerves, especially the humerus. The follow-up period can extend up to 16 months, especially in patients with radial nerve injury. Although the treatment methods of patients with humeral fractures vary according to the patient and the doctor, it is chosen as surgical or conservativ...
Open Access DOI:10.23937/2643-4148/1710017
Can having siblings increase stuttering as compared to being an only child?
Yoshikazu Kikuchi, Toshiro Umezaki, Kazuo Adachi, Motohiro Sawatsubashi, Masahiko Taura, Yumi Yamaguchi, Keiko Fukui, Nana Tsuchihashi, Daisuke Murakami and Takashi Nakagawa
Article Type: Original Article | First Published: November 21, 2020
Stuttering is a speech fluency disorder. Although recent studies have shown that most of its etiology is genetic, some parents considered their own caregiving or siblings as the cause of stuttering. This study aimed to address the clinical question associated with whether having siblings increases the risk of stuttering. We assessed the numbers and proportions of sibship size and birth order of 102 people who stutter (76 males and 26 females; average 11.8 years). In addition, we compared the occ...
Open Access DOI:10.23937/2378-3656/1410329
Hemolysis and Venous Thrombosis: Which Link?
A. Rkiouak, PH.D, I El Kassimi, MD, N Sahel, MD, M Zaizaa, MD and Y Sekkach, PhD
Article Type: Original Research | First Published: November 25, 2020
Hemolytic anemia is defined by the premature destruction of red blood cells (RBCs). Hemolytic anemia may be acute or chronic and life-threatening, and it should be considered in all patients with a normocytic or macrocytic anemia that is unexplained. Premature destruction of RBCs can be intravascular or extravascular in the monocyte-macrophage system of the spleen and liver; extravascular destruction is more common. The mechanism of antibody-mediated hemolysis is via phagocytosis or complement-m...
Open Access DOI:10.23937/2378-3656/1410328
Can Coconut Oil Promote Non-Alcoholic Steatohepatitis and Metabolic Syndrome? A Timely Review
Sheila CL Sanches, Fernando S Ramalho, Marlei J Augusto, Deyse M Silva and Leandra NZ Ramalho
Article Type: Review Article | First Published: Sanches SCL, Ramalho FS, Augusto MJ, Silva DM, Ram
Metabolic syndrome (MS) and non-alcoholic steatohepatitis (NASH) have been associated with bad eating habits. Supplementation with coconut oil (CO) has been proposed to control these conditions, as some authors suggest that CO provides weight loss and cardiovascular protective effects. However, the effectiveness and safety of emerging diets, such as CO, remain uncertain. This review focuses on the utilization of CO in the control of MS and NASH, besides in addition to describing this cardiovascu...
Open Access DOI:10.23937/2378-3656/1410327
Diabetic Cherioarthropathy, a Clue for Uncontrolled Diabetes: Case Report and Review of the Literature
Amr Edrees, MD, FACP, FACR
Article Type: Case Report | First Published: November 14, 2020
Diabetes mellitus is associated with a wide variety of musculoskeletal manifestations which can significantly affect a patient’s quality of life. One of these manifestations is Limited joint mobility syndrome (LJMS) also known as diabetic cheiroarthropathy (DCA) which affects the hands. Herein is a case of a 50-year-old female patient with type 2 diabetes mellitus who was diagnosed with DCA after complaining of limited movements of all joints in her hands and tightening of the skin. Her diabet...
Open Access DOI:10.23937/2474-3682/1510160
Isolated Macrodactyly
Arsia Hanif and Sana Shahid
Article Type: Image Article | First Published: November 14, 2020
A 5-year-old boy was brought to the outpatient department by his parents with complaints of the enlarged index finger of the left hand since birth. According to the mother, at birth, the index finger of the left hand was larger and longer than the other fingers of the same hand. The index finger grew out of proportion since then. The parents gave no history of congenital anomalies, limb defects, overgrowth syndromes, or similar complaints in any of their family members. On general physical exami...
Open Access DOI:10.23937/2643-3907/1710045
Reconstruction the Postablative Lower Jaw Defects with Vascularized Free Fibula Flap with Further Endosteal Implants
Gagik Hakobyan, DMSc, PhD, Grigor Khachatryan, MD, PhD, Levon Khachatryan, MD, PhD and Armen Hovhannisyan, MD, PhD
Article Type: Review Article | First Published: November 09, 2020
To evaluate of the effectiveness of rehabilitation in patients following mandibulectomy and free fibula flap reconstruction with further endosteal implants. The patient cohort consisted of 27 patients years (14 males and 13 females) with lower jaw defects due to resection for tumors, were reconstructed with fibula-free flaps in a 6-year period (2015-2020). All patients underwent a thorough clinical laboratory, radiological examination according to a generally accepted scheme. Patients were evalu...
Open Access DOI:10.23937/2377-9004/1410182
Opioid Consumption after Transversus Abdominis Plane Block in Abdominal Hysterectomy
Ashley S Moon, MD, Dorothy Wakefield, MS, Joann Petrini, PhD, MPH, Vaagn Andikyan, MD and Erin Panarelli, MD
Article Type: Original Research | First Published: November 19, 2020
Transversus abdominis plane (TAP) block is an important component of multimodal analgesia after abdominal hysterectomy to help with postoperative pain control. Our study evaluates 24-hour postoperative opioid consumption after TAP block in abdominal hysterectomy. Retrospective study of 174 women who underwent abdominal hysterectomy at a single institution. Statistical analyses compared demographic variables, compared opioid consumption and pain score distributions, assessed the association betwe...
Open Access DOI:10.23937/2643-4474/1710045
Chordoid Meningioma: Case Report and Review of the Literature
Marek Prokopienko, Teresa Wierzba-Bobrowicz, Wiesława Grajkowska, Tomasz Stępień and Michał Sobstyl
Article Type: Case report and Review of the Literature | First Published: November 16, 2020
Chordoid meningioma is an uncommon histopathological type of meningioma, frequently associated with Castleman’s syndrome. Histologically, chordoid meningiomas are similar to chordomas. Because of their high proliferative index, they present aggressive biological behavior and high risk of postoperative recurrence. We report a case of choroid meningioma in adult patient without Castleman’s syndrome manifestation. As its chordoid features is related with a rapid recurrence after incomplete remo...