Open Access DOI:10.23937/2643-4016/1710017
Challenging Case: Two Successive Unusual Causes of Revision Hip Prosthesis; Management and Outcome
Naoufal Elghoul, Tariq Hamamouch, Laribi Adam, Georges Saad, Mohammed Zaaf and Abdeloihab Jaafar
Article Type: Case Report | First Published: February 24, 2020
Femoral stem fracture is an extremely rare cause, especially in cementless nonmodular stem femoral. Furthermore, revision surgery for isolated polyethylene wear represents a challenge and dilemma for the orthopedic surgeon. This study aimed to present the first case that described two successive challenging causes of total hip arthroplasty revision, and to detail how they were how they were best managed. A 65-year-old male patient with a body mass index of 31 who underwent a primary left cementl...
Open Access DOI:10.23937/2378-3656/1410305
Thoracopagus Conjoined Twins: Early Diagnosis by Ultrasound, A Case Report
Giovanna Rosica, Daniela Bucari, Giovanni Pastore and Angela Musella
Article Type: Case Report | First Published: April 23, 2020
A tempestive diagnosis of conjoined twins pregnancy is highly important to lead to the best the rapeutic option. Thoracopagus conjoined twins account for more than 40% of conjoined twins pregnancies, and the prognosis is very poor because in most of cases a single heart and/ or liver is present. In our case, the premature diagnosis has given the family a chance to choose for pregnancy termination reducing as far as possible the already heavy emotional impact of that condition....
Open Access DOI:10.23937/2377-9004/1410161
Mesenteric Venous Thrombosis Causing Acute Mesenteric Ischemia in the First Trimester of Pregnancy
Youssef M Zohdy and Ziad M Ahmed
Article Type: Case Report | First Published: April 03, 2020
Acute mesenteric ischemia is a rare complication of thromboembolic diseases in the mesenteric vessels, which was noted to occur due to the hypercoagulable circulation associated with pregnancy. Additionally, the early detection and treatment of such disease prevents further deterioration of the mother’s condition, thus ensuring a favorable outcome for both the mother and the fetus. This paper presents a case report of acute mesenteric ischemia in a 9 weeks pregnant female, which was diagnosed ...
Open Access DOI:10.23937/2643-4474/1710031
Cranial Intraosseous Angiolipoma: Case Report and Literature Review
Katherine M Morgan, MD, PhD, Simon Hanft, MD and Zhenggang Xiong, MD, PhD
Article Type: Case Report | First Published: April 08, 2020
Angiolipomas are slow-growing, soft tissue tumors consisting of mature adipocytes and thin-walled blood vessels. While most Angiolipomas are subcutaneous lesions in the trunk and upper extremities, intraosseous angiolipomas are rare at cranial site. We present the case of a 61-year-old female with an enlarging lesion in the left frontoparietal skull following minor head trauma. Radiography confirmed an expansile, enhancing, spiculated bony lesion in the left frontoparietal calvarium with extensi...
Open Access DOI:10.23937/2572-4061.1510032
Reference Dose and Reference Concentration Rounding in IRIS: Risk Assessment Ramifications
Lawrence V Tannenbaum
Article Type: Original Article | First Published: April 10, 2020
Commonly, reference doses and reference concentrations, toxicity factors supporting non-cancer assessments for the chemical exposures of humans, are rounded values. While the U.S. EPA's Integrated Risk Information System rather evidently employs this rounding practice so as to arrive at toxicity values that are uniform and simple in appearance, the particulars of the rounding approach are only loosely discussed. The analysis provided here found that reference dose and reference concentration rou...
Open Access DOI:10.23937/2469-5726/1510080
Pregnancy Outcomes in Systemic Sclerosis Patients: Effects of Disease Subtype, Disease Onset, and Type I Topoisomerases
Hadi PoorMoghim, Moghadaseh Shakerian, Zahra Raoofi, Arash Jalali and Elham Andalib
Article Type: Research Article | First Published: March 30, 2020
Pregnancy occurred in 109 (84%) women (diffuse cutaneous systemic sclerosis, 48.8%; limited cutaneous systemic sclerosis, 52.2%). Based on the findings, 20 (15.5%) women were nulliparous. Overall, 229 pregnancies occurred before the disease onset and 49 pregnancies after the disease onset. Spontaneous abortion was reported more frequently in pregnancies occurring after the disease onset, compared to those occurring before the disease (24.4% vs. 9.6%; P = 0.005). Successful pregnancy was reported...
Open Access DOI:10.23937/2572-4010.1510035
Prevalence of Overweight and Obesity among Intermediate Schools Students in Buraydah, KSA
Ahmed Elnadif Elmanssury
Article Type: Research Article | First Published: April 06, 2020
A cross-sectional study was carried out in a government school in Buraydah, during academic year 2018-2019. All the study population were subjected to a predesigned questionnaire that included questions related to socio-demographic characteristics, life style (physical activity and eating habits) and anthropometric measurements including height, weight and body mass index. This study found a relatively high prevalence of overweight and obesity among intermediate school’s students, aged 13-16 y...
Open Access DOI:10.23937/2572-4193.1510075
Management of Difficult Laryngeal Exposure with Two Surgeons by Using the Flexible Fiberscope
Kuang-Chih Lee and Chih-Shin Lin
Article Type: Research Article | First Published: April 15, 2020
Out of these patients, 3 patients presented with difficult laryngeal exposure that were operated under suspension microlaryngoscopy. Laryngeal exposure was much improved by the flexible fiberscope with a video system compared with the suspension microlaryngoscopy. The endolaryngeal surgeries in all cases with difficult laryngeal exposure were performed smoothly. The flexible fiberscope with a video system could remarkably improve visualization of the larynx. This approach provided an alternative...
Open Access DOI:10.23937/2474-3658/1510115
Hepatitis B Envelope Antigen in Adult Carriers of Chronic Hepatitis B Surface Antigen in a Tertiary Health Facility in North East Nigeria: 2000 - 2015
Isaac Warnow Elon, Jalo Iliya, Alkali Yaya, Ajani Ayomikun, Abubakar Joshua Difa, Oyeniyi C, Aremu John and Danlami Halilu
Article Type: Original Article | First Published: April 09, 2020
Hepatitis B infection continues to be a serious global health problem with about 2 billion people infected worldwide, many of these in sub-Saharan Africa. Records of Hepatitis B surface and envelope antigen test results in adults attending the outpatient units and/ or admitted in Federal Teaching Hospital, Gombe between May 2000 and May 2015 were retrieved and analyzed. Hepatitis B surface antigen was tested for in 22,862 adults and children; 20375 (89.1%) were adults and 2487 (10.9%) were child...