Open Access DOI:10.23937/2378-2951/1410187

Increased Incidence and Prevalence of Cardiovascular Events and Mortality in Female Patients with NAFLD: A Meta-Analysis and Meta-Regression

Yaser Khalid, DO , Neethi Dasu, DO, Herman Suga, DO, Kirti Dasu, BA, Debashis Reja, MD, Ankit Shah, DO, Donald McMahon, DO and Adam Levine, DO

Article Type: Meta-Analysis | First Published: July 10, 2020

Non-alcoholic fatty liver disease (NAFLD) and cardiovascular diseases (CVD) share similar risk factors. Recent studies have focused on obesity and insulin-resistance, but the link between NAFLD and CVD persists regardless of traditional risk factors. Despite the increased incidence and prevalence of NAFLD world-wide, there has been no thorough investigation of gender disparities nor a closer look taken into investigating the role gender may play in increased cardiovascular (CV) mortality inciden...

 Open Access DOI:10.23937/2469-5831/1510028

Bridging Strategies for In Vitro Diagnostic Clinical Trials in a New Region

Robert Magari, PhD, Mohamad Hasan, PhD and Karen Lo

Article Type: Original Article | First Published: July 10, 2020

The need for multiregional clinical trials for in vitro diagnostic devices and extrapolating results in a new region is increasing in recent years. In this paper we are providing strategies for consideration of bridging studies for the two most common types of clinical trials for in vitro diagnostic, method comparison and diagnostic clinical performance trials. Bridging studies should be considered when the expected agreement in the new region is inferior to the agreement in the original trial. ...

 Open Access DOI:10.23937/2690-3172/1710006

Bio-Psychologically Based Resilience Traits in a Group of Healthy Undergraduate Students: The Role of NRG1 Gene

Zsuzsanna Elek, Zsolt Rónai, János Réthelyi, Enikő Csilla Kiss, István Tiringer, Ernő Hupuczi, László Martin, János Kállai

Article Type: Research Article | First Published: July 25, 2020

The genetic predisposition for the psychological resilience has an essential role in the phenotype of adaptive and successful behavior, but the functional repertoire of bio-psychological bases for the adaptive personality growth is until uncompleted. Besides dopaminergic and serotoninergic system-related genes is required to reveal a new genetic target for understanding the potential biological mechanism of resilience. The object of this study was to examine the role of different genetic polymor...

 Open Access DOI:10.23937/2469-5696/1410054

Influence of ABO Blood Group on Fibrinogen Levels and Platelet Count in Apparently Healthy Nigerian Subjects

Okeke CO and Iloka VC

Article Type: Original Article | First Published: July 25, 2020

A close association has been shown to exist between ABO blood type and the risk of some diseases with non-O (A, B, or AB) individuals having an increased differential disposition to thrombotic disorders. The present study evaluated the fibrinogen levels and platelet count in subjects of different ABO blood groups with the view of ascertaining if disparity exists in the levels of fibrinogen and platelet count amongst the different ABO blood groups....

 Open Access DOI:10.23937/2469-5696/1410053

First Report of Hemoglobin Le Lamentin [Alpha 20 (B1) His -> Gln] in the Alpha1 Globin Gene in an Indian Patient and a Brief Update

Sona B Nair, Arundhati S Athalye, Prochi F Madon and Firuza R Parikh

Article Type: Case Report | First Published: July 13, 2020

Alpha globin gene structural variants are caused mainly due to point mutations in the alpha globin gene. They are generally asymptomatic but in rare cases cause problems in association with other structural variants of thalassemia. We report here for the first time in Indian population a rare alpha globin gene structural variant named Hb Le Lamentin. Our main aim of presenting this case is to create awareness that this variant may be commonly present in the Indian population also though the prev...

 Open Access DOI:10.23937/2377-4630/1410110

Palliative Therapy of Refractory Dyspnea with Low Dose Transdermal Applied Buprenorphine: An Observational Study

Fabian Rings, Sven Gottschling and Patric Bialas

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

Dyspnea is a distressing symptom of many terminal ill patients that has to be treated. Despite recent guideline recommendations there is still great restraint in using opioids for the treatment of dyspnea. In this report, we investigated, whether transdermal application of buprenorphine (TD BUP) is a safe and efficient way to treat dyspnea. Before applying BUP, dyspnea was scored on numerical analog scales and the patients were examined (assessment of vital parameters, questionnaires). Than trea...

 Open Access DOI:10.23937/2469-5742/1510074

Post PCNL Renal Pseudoaneurysm and AV Fistula: Single Institution Analysis

Ajay Anand

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

PCNL has been accepted as a minimally invasive gold standard treatment for renal calculi. Though PCNL is a minimally morbid procedure yet it is fraught with rare but significant complication of post-procedural hematuria. Massive hematuria due to renovascular injury has been reported in 0.3-1% of patients following PCNL. Persistent hematuria can be life-threatening if not managed on emergency basis. Almost all renal punctures for PCNL are associated with vascular injury - some trivial and self-re...

 Open Access DOI:10.23937/2643-4512/1710048

Mobile App Training and Informative Experience in Health Education

Ana Belén Sánchez-García, Eva Abad-Corpa and Juan José Rodriguez-Mondejar

Article Type: Research Article | First Published: July 10, 2020

A wide variety of studies have shown that new technologies facilitate the acquisition of knowledge and skills. New technologies were introduced into the nursing field in the mid-1960s with the advent of basic computer programs. In the 21st century, the use of mobile devices such as tablets, smart phones and PDAs has been introduced. Currently, gambling techniques and serious games are proposed and studied in nursing education....

 Open Access DOI:10.23937/2643-4466/1710026

Comparison of Health Status between At-Home-Care and Institutionalized Adults with Down Syndrome in Japan

Kimiko Ueda, MD, MPH, PhD and Nobuhiko Okamoto, MD

Article Type: Research Article | First Published: May 02, 2020

In both cohorts, more than half of the subjects, regardless of gender, had dyslipidemia. Hyperuricemia and obesity were significantly more frequent in at-home-care men than in institutionalized men. The most common diseases in the institutionalized subjects were dyslipidemia (61%), ringworm (59.3%), hypothyroidism (30.5%), hyperuricemia (25.4%) and dementia (16.9%; 46% in those in their 60s). Subjects in their 50s or later showed a greater need for assistance in walking/moving, getting dressed a...

 Open Access DOI:10.23937/2474-3682/1510146

A Rare Case of Idiopathic Petrified Ear or Calcified Pinna

Ranjit Meher, MBBS, MD, Varsha M Khalkho, MBBS, DNB, and Anwesha D Patel, MBBS, MDRD

Article Type: Image Article | First Published: July 23, 2020

Calcification or ossification of the auricular cartilage, also known as “petrified ears”, was first described by Bochdalek in 1866. In our article, a seventy-two years-old male was evaluated for stiffed left ear over few years. No obvious cause was demonstrated on laboratory tests. Calcification or ossification of the left external auricular cartilage was demonstrated on non-contrast temporal bone Computed Tomography (CT) scan and therefore a rare case of idiopathic petrified left ear was di...