Open Access DOI:10.23937/2378-3656/1410301

Explantation of Silicone Breast Implants Ameliorates Gel Bleed Related Health Complaints in Women with Breast Implant Illness

Rita M Kappel, MD, PhD and Ger JM Pruijn, PhD

Article Type: Original Article | First Published: March 24, 2020

During the last decade the international debate on adverse health effects of silicone breast implants has intensified and recently the related disorder has been termed Breast Implant Illness (BII). This study aimed to explore the effects of explantation of silicone implants. In a retrospective study, women with silicone breast implants, who consulted plastic surgeons for a variety of reasons, were requested to fill out a questionnaire, which was aimed at an evaluation of health complaints. In to...

 Open Access DOI:10.23937/2378-3656/1410300

The Infectious Headache- A Case of Neurocysticercosis

Supraja Thunuguntla, MD, Obinna Echeruo, MD and Jose Campo Maldonado, MD

Article Type: Case Report | First Published: March 05, 2020

A 50-year-old Hispanic female presented to her primary care physician with a progressively worsening headache over a week, associated with visual disturbances, prosopagnosia and episodes of disorientation. Outpatient workup with head CT showed abnormality in the ventral aspect of the left thalamus showing 1.2 × 1 cm low density cyst with approximately 2-3 mm right-left midline shift locally. Left basal ganglia showed multiple well-defined foci of low density measuring up to 3 mm reflecting edem...

 Open Access DOI:10.23937/2643-4512/1710036

Factors Associated with the Nutritional Status of Schoolchildren in the Main City of Benin Republic, Sub-Saharan Africa

Colette S Azandjeme, Florence Alihonou, Charles J Sossa, Ulrich Gbatcho, Fabien Gounongbe, Michel Makoutode and Victoire D Agueh

Article Type: Research Article | First Published: March 05, 2020

This was a cross-sectional study conducted in July 2016. It involved data collection regarding food and nutritional knowledge, nutritional habits and practices, physical activity level and health status which were obtained using survey research. The study took place in four schools from the Friendly School of Nutrition Initiative (FNSI) in Cotonou and focused on schoolchildren aged from eight to eleven (n = 182). Anthropometric data including weight and height were collected, BMI indices weight-...

 Open Access DOI:10.23937/2690-3164/1710004

Slight Increases of Phosphorus and Sulfur in Human First Septal Perforator Branches of the Left Anterior Descending Artery with Aging

Yoshiyuki Tohno, Setsuko Tohno, Takeshi Minami, Nutcharin Pakdeewong-Ongkana, Noppadol Phasukdee and Pasuk Mahakkanukrauh

Article Type: Original Article | First Published: March 12, 2020

To elucidate age-related changes of the first septal perforator branch (FSB), the authors investigated age-related changes of elements in the FSBs by direct chemical analysis. In addition, the effects of different arterial sizes and genders on element accumulation were investigated in the FSBs. Sixty-two formalin-fixed adult Thai hearts were used and the FSBs were carefully dissected in the hearts. After the arteries were incinerated with nitric acid and perchloric acid, element contents were de...

 Open Access DOI:10.23937/2378-2951/1410167

Radiofrequency Ablation as a Treatment Modality for Hypertrophic Cardiomyopathy

Kareem M. M. Ibrahim, MBBCH

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

Hypertrophic cardiomyopathy is one of the major causes of cardiac death that affects 1 in every 500 persons worldwide. Surgical myectomy and alcohol septal ablation have been the gold standard well established procedures for the treatment of this condition. Starting 2004 a new procedure, radiofrequency septal ablation, has been applied and showed significant improvement in the NYHA classification as well as the left ventricular outflow tract (LVOT) gradients of these patients. With overall less ...

 Open Access DOI:10.23937/2378-2951/1410166

Percutaneous Repair of an Aortic Pseudoaneurysm Status Post-Surgical Repair of Stanford Type A Dissection

Brinder S Kanda, MD, FACC, FSCAI, Nicholas E Hoyt , John Haas, MD, Houman Tavaf-Motamen, MD, Ronald Morford, MD, Tina Wesley, BSN, Kenneth Saum, MD and Michael MacCormac, MD

Article Type: Case Report | First Published: Feb 29, 2020

A middle-aged Caucasian woman presented with an ascending aortic pseudoaneurysm (AAP) located at the suture site of her previous surgical dissection repair. The pseudoaneurysm was located along the anterior aspect of the ascending thoracic aorta, above the right coronary cusp. We demonstrate successful percutaneous repair of the pseudoaneurysm using a ventricular septal occluder (VSO) and discuss the significance of this procedure for future cardiovascular care. A 56-year-old Caucasian woman wit...

 Open Access DOI:10.23937/2474-3674/1510100

Acute Pneumonia: The Beginning of a Revision of Views or Just a Statement of Known Facts?

Igor Klepikov, MD

Article Type: Commentary | First Published: March 14, 2020

The author conducted research on the topic under discussion in the USSR at the State Institute for advanced training of doctors (Novokuznetsk). To date, the USSR and the mentioned Institute no longer exist. However, research and clinical trials of new approaches to the treatment of children with acute pneumonia and the results of this work can provide answers to a number of questions facing us today, which allows us to consider the research of thirty years ago relevant and worthy of mention....

 Open Access DOI:10.23937/2474-3674/1510099

Preliminary Discussion of the Distribution Characteristics of Venomous Snake Species in One City and Four Counties in Guangxi and the Diagnosis and Treatment Strategies of Snakebite based on the Classified Evidence Method

Yi Luo, Zhengzhao li, Jianfeng Zhang, Qibin Li, Chongyu Zhai, Peinan Yu and Peng Guo

Article Type: Research Article | First Published: March 11, 2020

From the perspective of clinical diagnosis and treatment of snakebite and combined with existing zoological data, we aimed to characterize the distribution of snake species in one city and four counties in Guangxi and make regional snakebite diagnostic charts. Geolocation data of the research region and snake distribution were collected from the municipal and county governments and referring to authoritative zoological monographs, respectively. We characterized the distribution of venomous snake...

 Open Access DOI:10.23937/2474-3674/1510098

Safety and Effectiveness of Neuromuscular Blockers in the Treatment of Acute Respiratory Distress Syndrome: Systematic Review and Meta-Analysis

Alfredo Aisa-Alvarez MsC, MD, Cesar A Rojas-Gomez, MD and Gilberto Camarena-Alejo MHA, MD

Article Type: Research Article | First Published: March 07, 2020

Two review authors independently screened the abstracts and titles for relevance. Screening for inclusion, data extraction, and risk of bias assessment were performed by one author and checked by the second. We assessed trials for the overall quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) instrument. We calculated the risk ratios (RR) and 95% confidence intervals (95% CI) for dichotomous outcomes, while for continuous results we obtaine...

 Open Access DOI:10.23937/2378-346X/1410112

Proteasome and Autophagy Pathway in Corneal Epithelial Cells with Limbal Stem Cell Deficiency

Fawzia Bardag-Gorce, Michael Di Lorenzo, Robert Niihara, Sarah Sunada, Amanda Laporte, Kavita Narwani, Daileen Cortez, Jeremy Stark, Mynor Garcia, Alissa Diaz, Joan Oliva, Richard Hoft, and Yutaka Niihara

Article Type: Original Article | First Published: February 28, 2020

Immunofluorescent staining showed that both pathways were positive in normal corneal epithelium. However, while proteasome subunits were decreased in LSCD-CEC, autophagy biomarker MAPLC3B and ATG12-ATG5 complex were significantly increased in LSCD-CEC, compared to healthy CEC. These results indicate that LSCD-induced impairment of UPP may cause a compensatory stimulation of autophagy. However, despite autophagy up regulation, damaged and unwanted proteins, such as modified keratin K4 and K13 agg...