Open Access DOI:10.23937/2377-9004/1410167
Conservative Management of Endometrial Carcinoma and Precursor Lesions Preceding IVF Treatment: A Case Series
Huda Afaneh, MD, Ahmed SZ Moustafa, MD, Stephanie Leiva, MD, Youssef Youssef, MD, Ahmed Abdullah, MD, John Hebert, III, MD, FACOG and Mostafa Abuzeid, MD, FACOG, FRCOG
Article Type: Case Series | First Published: June 11, 2020
Endometrial cancer (EC) is the most common gynecological malignancy in developed countries with a lifetime risk of 3% for women living in the United States. Women younger than 45 years of age represent 7% of endometrial cancer cases. Type 1 endometrioid adenocarcinoma is the most common type. Endometrial intraepithelial neoplasia (EIN) is a precursor lesion that carries a risk of concomitant invasive disease in up to 40% of patients. Risk factors for type 1 endometrial cancer and EIN include uno...
Open Access DOI:10.23937/2377-9004/1410166
A Rare Case: Nodular Adenomyosis Can Deceive Cornual Ectopic Pregnancy
Elvin Piriyev, Walter Mellin and Thomas Romer
Article Type: Case Report | First Published: June 03, 2020
Adenomyosis refers to the occurrence of ectopic endometrial glands and the surrounding stroma within the myometrium. A distinction is made between diffuse and focal forms (rare nodular forms and an adenomyoma). Ectopic pregnancy (EUG) occurs in about 1.5 to 2.0% of pregnancies and can be a life-threatening event. 2% of all EUG are cornual/intramural ectopic pregnancy. We present the case of a 33-year-old women (GII/PI) who complained about vaginal bleeding in the 6th week of pregnancy. The next ...
Open Access DOI:10.23937/2572-4053.1510028
Management Concentric Collapse of Velopharynx in Obstructive Sleep Apnoea Using a Modified Barbed Palato-Pharyngoplasty Technique
Susan K Sebastian, MS, Ankur Sharma, MS, Omprakash Chawla, MS and Payal Garg, MS
Article Type: Retrospective Study | First Published: July 04, 2020
Twenty four patients with evidence of OSA on polysomnography were included. In all patients the major cause of obstruction was due to concentric collapse of velopharynx as evidenced on Muller Maneuver (MM) and Drug Induced Sleep Endoscopy (DISE). All had non-adherence to (CPAP) therapy and underwent Barbed Palato Pharyngoplasty (BPP) for correction of concentric collapse of velum. Apnoea-Hypopnoea Index (AHI), Lowest Oxygen Saturation (L-sat), Epworth Sleepiness Score (ESS), Visual Analog Score ...
Open Access DOI:10.23937/2572-3243.1510078
The Active Supination Dorsiflexion Test Guided Therapeutic Intervention for Shin and Calf Pain: A Case Report
Deepak Sebastian, DPT
Article Type: Case Report | First Published: June 29, 2020
A 66-year-old male experienced right sided shin and calf pain of an insidious onset. The duration of pain was 3 months, aggravated by walking and running. He also reported resting pain especially during the night. A detail medical evaluation ruled out the presence of a blood clot and electrolyte imbalance. He was diagnosed as having restless leg syndrome and referred for physical rehabilitation. Initial examination revealed positive findings of comparable local tenderness over the right shin and...
Open Access DOI:10.23937/2474-3658/1510140
The Challenges of Using Insecticides Treated Nets (ITNs) in Curbing Malaria in Nigeria: A 2000-2018 Systematic Review
Blessed K Ajegena and Victor B Oti
Article Type: Review Article | First Published: July 04, 2020
The proper use of Insecticides treated nets (ITNs) has been adjudged an efficacious and cost-effective method for curbing malaria. Despite the distribution of ITNs in Nigeria, malaria remains one of the major causes of morbidity and mortality, especially among children below 5-years-old. This systematic review was intended to document the factors mitigating the use of ITNs in Nigeria. Scholarly articles published from the year 2000 through 2018 were reviewed. Six (6) databases (Medline, PubMed, ...
Open Access DOI:10.23937/2469-5858/1510093
Impact of Colonoscopy in Patients Older than 75 Years
Pallavi Shah, Alhareth Alsayed, Waseem Ahmed, Shreya Desai, Mohamed Shanshal and Janos Molnar
Article Type: Original Research | First Published: July 11, 2020
Current guidelines for colorectal cancer recommend starting screening at age 50 until 75 years. The primary objective was to compare survival in patients 50-74 years-old versus older patients. Retrospective chart reviews were performed on patients who underwent screening, diagnostic or surveillance colonoscopy at JAL FHCC. 213 patients were included with 51% of the patients aged 50-74 years and 49% aged 75 years or older. Survival time was higher in the younger group with mean survival time (MST...
Open Access DOI:10.23937/2469-5858/1510092
Technology Use to Bridge the Gap of Social Distancing during COVID-19
Kalpana P Padala, MD, MS, Ashlyn M Jendro, MS, Kerrie B Wilson, MS, Prasad R Padala, MD, MS
Article Type: Review Article | First Published: June 29, 2020
Technology use has been recommended as a way to assess and mitigate loneliness. This advice is more applicable now during the COVID pandemic. It is known that social networks mitigate the detrimental effects of loneliness by enhancing physical and mental health. Unfortunately, even in normal circumstances, it is difficult for older adults to maintain social networks. Although face-to-face interaction is the ideal way of social networking, literature supports that technology has a role in combati...
Open Access DOI:10.23937/2469-5793/1510122
The Integration of Public Health and Primary Care: A Case Study of Nebraska
David Palm, PhD, Brandon Grimm, PhD, MPH and Valerie Pacino, MPH
Article Type: Original Article | First Published: June 29, 2020
There is considerable evidence of integration activities between primary care clinics and LHDs. Current activities focus on care coordination for high-risk chronic care patients and promoting hypertension, diabetes, and cancer screening. Six LHDs have a formal contract or memorandum of understanding with one or more clinics, and at least two LHDs are embedding nurses within clinics. Although LHDs felt there were many benefits to integration and emerging opportunities, significant barriers persis...
Open Access DOI:10.23937/2469-567X/1510067
Emerging and Re-Emerging Viral Diseases: The Case of Coronavirus Disease-19 (COVID-19)
Gedif Meseret Abebe
Article Type: Review Article | First Published: June 29, 2020
Infectious viral diseases are the never-ending challenge that can emerge or re-emerge in unpredictable regions and at unpredictable times. Human beings are facing an intractable problem in unexpected time and place due to these viral diseases. Human, ecological, and viral related factors are the contributing factors in the emergence or re-emergence of viral infectious disease. Travel, mass gathering, urbanization, fragile or deteriorated health systems, weak disease surveillance system, limited ...
Open Access DOI:10.23937/2643-461X/1710034
SARS-CoV-2 Infection & Cardiology: Overview on Renin-Angiotensin- Aldosterone System Inhibition
Gustavo Henrique Sumnienski Bertoldi, Rafael M Ronsoni, MD, MsC and Marcus Vinicius Magno Goncalves, MD, PhD
Article Type: Review Article | First Published: July 04, 2020
The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a coronavirus strain, and its main way to get access to the cells is via the angiotensin converting enzyme (ACE2) and causes the Coronavirus Disease 2019 (COVID-19). ACE2 is an important enzyme in the pathogeneses of hypertension. For the treatment of hypertension, it is commonly used angiotensin II receptor blockers (ARBs) and angiotensin II converting enzyme inhibitors (ACEIs). It is clear that there is a lot of uncertainty an...