Open Access DOI:10.23937/2378-3516/1410137

A 53-Year-Old Woman with a Rapidly Progressive Lung Mass

Richard H Zou, MD and Christopher N Faber, MD

Article Type: Case Report | First Published: July 17, 2020

A 53-year-old Caucasian nurse with a history of emphysema presented with 6 months of recurrent fever, generalized fatigue, exertional dyspnea, and non-productive cough. She reported a 15 pack-year smoking history but quit 3 months prior to evaluation. She previously worked with patients with chronic tracheostomies in a long-term acute care facility. She denied hemoptysis, sputum production, chest pain, pleurisy, abdominal pain, or unintentional weight loss. She reported no recent travel, inhalat...

 Open Access DOI:10.23937/2378-3516/1410136

Effect of Intervention on Metered Dose Inhaler Use Technique and Determinants among Adult Asthmatic Patients Attending in Outpatient Clinic, Ethiopia: Interventional Study

Bezie Kebede Zelalem, Gima Mamo and Dessalegn Feiysa

Article Type: Research Article | First Published: July 18, 2020

Asthma is a heterogeneous disease which is characterized by chronic airway inflammation. It is an affecting 1-18% of the population in different countries. It can be treated mainly with inhaled medications in several forms, including the pressurized Metered-Dose Inhaler (MDI). MDI use can, unfortunately, be difficult for patients to use and even with repeated demonstration and some patients will still find co-ordination of the whole technique challenging, failing to master it despite repeated de...

 Open Access DOI:10.23937/2469-5769/1510066

Hypoglycemia in Exclusively Breastfed High-Risk Neonates - A Hospital-Based Study

Parth Patel, Palash R Gogoi, Santanu Deb, Prasenjit Paul, Sabrina Yesmin, Lima Sangla Jamir and Pramod Paharia

Article Type: Original Research | First Published: July 16, 2020

Hypoglycemia is one of the commonest metabolic problems in contemporary neonatal medicine. In the majority of healthy neonates, the frequently observed low blood glucose concentrations are not related to any significant problem and merely reflect normal processes of metabolic adaptation to extrauterine life. However, when low blood glucose levels are prolonged or recurrent, they may result in acute systemic effects and may result in neurologic sequelae....

 Open Access DOI:10.23937/2469-5769/1510065

Cutis Laxa Syndrome

Chaima Rherib, Fatima Jabourik and Abdelali Bentahila

Article Type: Image Article | First Published: July 15, 2020

18-months-old girl, the child of related parents, with no particular pathological history, presented with respiratory disorders associated with the fever and cough. On The clinical examination, the child was febrile and had respiratory distress. The respiratory rate was 60/ min, heart rate 100/min, and blood pressure 100/70 mmHg, The weight and height were 10 kg (under 2DS) and 70 cm (normal for that age) respectively the facies was particularly suggestive of cutis laxa: An early senile appearan...

 Open Access DOI:10.23937/2572-4037.1510046

Patients with Multiple Sclerosis in Psychotherapy: Processes of Meaning Making and Self Transformation

Evangelia Fragkiadaki, Fotios Anagnostopoulos, Sofia Triliva, Maria Angnostouli and Ilia Theotoka

Article Type: Original Article | First Published: July 15, 2020

Recent empirical literature on autoimmune diseases has focused extensively on the implementation and evaluation of psychosocial interventions. Psychotherapy and counselling processes for multiple sclerosis (MS) have gained special attention given the cognitive and behavioral dimensions of the symptoms as well as their unpredictable course. The current study aims to gain a deeper understanding of the meaning making processes for persons with MS (PwMS) who are in psychotherapy treatment....

 Open Access DOI:10.23937/2469-5807/1510111

Vulvar Lymphangitic Carcinomatosis: A Rare Metastasis from Gastric Adenocarcinoma

Amal Damiri, Hafsa Chahdi, Mohamed Allaoui, Abderrahim El Ktaibi, Mohamed Reda El Ochi, Mohamed Amine Essaoudi and Mohamed Oukabli

Article Type: Case Report | First Published: July 22, 2020

A 32-year-old woman was admitted to the gynecology department to manage a vulvar mass that appeared 3 months ago. The clinical examination found nothing special, the gynecological examination showed a vulvar mass of about 5 cm. A presumptive diagnosis of a benign lesion was made and a surgical decision to remove the mass was made....

 Open Access DOI:10.23937/2469-5734/1510111

Immediate Implant Placement in the Aesthetic Zone: A Multidisciplinary Management - Case Report

Lovo María Tadea, Zárate Héctor, Rodríguez Karla and Martínez Daniel

Article Type: Case Report | First Published: July 16, 2020

Immediate implant placement in the esthetic zone, represents one of the biggest challenges in dentistry. It implies a multidisciplinary approach involving prosthetic and periodontal aspects to obtain long term stability, esthetic and functional results. A clinical case report is presented below, taking into consideration periodontal and prosthetic management of an implant in the anterior zone, starting from the diagnosis, treatment plan, periodontal surgical procedures, provisionalization, and i...

 Open Access DOI:10.23937/2469-5734/1510110

Prosthetic Dentistry Treatment Capabilities in Patients with Parkinson’s Disease

Greta Rutkauskaitė and Aušra Baltrušaitytė, PhD

Article Type: Review Article | First Published: June 29, 2020

Parkinson’s disease is one the most widespread illnesses in the world, affecting up to 1% of the whole population above 60 years. It is also considered the most frequent movement disorder and the second most common degenerative disease of the central nervous system. The main goal of prosthodontists should be to guarantee a good quality of life for patients ill with Parkinson’s disease (PD)....

 Open Access DOI:10.23937/2377-3634/1410127

Neuro-psychiatric Manifestations in Multiple Endocrine Neoplasia - 1: A Unique Presentation

CL Nawal, Abhishek Yadav, Abhishek Agrawal, Radhey Shyam Chejara and Aradhana Singh

Article Type: Case Report | First Published: July 15, 2020

A twenty-one years-old Indian female patient presented with episodes of nervousness, irritability and confused behavior for a period of 20 days, particularly when a meal was delayed. About two days prior to presentation she developed an episode of loss of consciousness which recovered when she was administered dextrose containing intravenous fluids at a local clinic. She was then referred to our department for further evaluation. There was no history of chest pain, dyspnea, involuntary movements...

 Open Access DOI:10.23937/2474-3674/1510110

Delayed Intubation during Cardiac Arrest in Covid-19 Patients

Arash Harzand, MD, MBA, A Maziar Zafari, MD, PhD

Article Type: Commentary | First Published: July 16, 2020

Recent guidance from the American Heart Association (AHA) on resuscitation strategies in coronavirus disease disease of 2019 (Covid-19) includes several notable departures from before, including to proceed directly to endotracheal intubation over non-invasive ventilation (NIV) and to actively pause chest compressions during intubation attempts to minimize the likelihood of unsuccessful attempts. Although such recommendations have a dual focus on protecting frontline rescuers from aerosolizing pr...