Open Access DOI:10.23937/2643-4474/1710026
Cerebellar Liponeurocytoma Presenting with Fatal Tumor Hemorrhage
Elia Guadagno, MD, Lorenzo Ugga, MD, Annarita Gencarelli, MD, Valentina Orlando, MD, Sergio Corvino, MD, Maria Rosaria Cervasio, MD, Sara Pignatiello, MD, Andrea Elefante, MD, Francesco Maiuri, MD and Maria Laura Del Basso De Caro, MD
Article Type: Case Report | First Published: October 18, 2019
Liponeurocytoma is a very rare tumor of the nervous system, with only 63 reported cases, mainly in the cerebellum and ventricular system. The key-points for the diagnosis are the histological findings of neurocytic cells with lipidic accumulation, with positivity for S-100 and synaptophysin and negativity for IDH-1, and the MR finding of hyperintensity areas on T1Wi corresponding to fatty tissue within the tumor. This article reports a case of cerebellar liponeurocytoma presenting with acute ict...
Open Access DOI:10.23937/2572-4193.1510069
A Revisit of Open Repair for Zenker's Diverticulum Compared to Endoscopic Repair
Ryan Marshall, MD, Gobind Gill, MD, Mohamad Babi, MD, Kirk Withrow, MD and Do-Yeon Cho, MD
Article Type: Research Article | First Published: November 04, 2019
The purpose of our study is to prove open repair (OR) for Zenker's diverticulum can result in similar lengths of stay in the hospital, and similar convalescent periods when compared to endoscopic repair (ER). Retrospective chart review was performed between 2013-2018 for those patients who had surgical repair of Zenker's diverticulum by two surgeons. After discussing all risks, benefits, and alternatives, patient made a decision whether to have ER vs OR of Zenker's diverticulum. These findings s...
Open Access DOI:10.23937/2572-3243.1510069
Muscle Magnetic Resonance Imaging versus Clinical Function in Duchenne Muscular Dystrophy
Yingyin Liang, PhD, Jie Li, MD, Chen Yang, MD, Xue Xu, MD, Guidian Li, MD, Rongxing He, Dr and Cheng Zhang, PhD
Article Type: Original Article | First Published: October 17, 2019
Impairment in patients with Duchenne muscular dystrophy (DMD) has been evaluated primarily by muscle fiber microscopy examination. Pathologic examination is limited by the choice of muscle and the invasiveness of muscle biopsy. Magnetic resonance imaging (MRI) of the muscle is a noninvasive method of evaluating muscle preservation. To compare muscle MRI and clinical function in patients at different stages (from early to terminal stage) of DMD, and to evaluate the correlation between fatty infil...
Open Access DOI:10.23937/2474-3658/1510097
Climate Variability and Its Impact on the Incidence by Dengue in Six Endemic States of the Mexican Republic
Perez Contreras Irma, Alvarado Bravo Krystel Mariel, Barragan Gonzales Alin and Velasco Perez Daniel Alejandro
Article Type: Research Article | First Published: November 04, 2019
Climate variables are one of the main drivers of dengue epidemics and the proliferation of their vectors. Significant relationships have been found between fluctuations in temperature, rainfall, and the incidence of dengue. The interaction between high levels of these variables significantly influences the increase in the incidence after at least one month of this event. The confirmed cases of dengue reported in the epidemiological bulletins of the Epidemiology General Directorate were collected...
Open Access DOI:10.23937/2474-3658/1510096
Hepatitis C in Adults and Children: A Cross-Sectional Review from a Tertiary Hospital, Northeast Nigeria during the Period 2008-2015
Isaac Warnow Elon, Ajani Ayomikun, Jalo Iliya, Alkali Yaya, Oyeniyi Christianah, Okolie Henry, Saidu Abubakar, Jibrin Bara, Aremu John, Kudi Ayuba, Danlami Halilu and Charanchi Musa
Article Type: Original Article | First Published: November 04, 2019
HCV is a leading cause of liver cirrhosis, hepatocellular carcinoma and liver failure related deaths among children, adolescents and adults worldwide. Sub-Saharan Africa suffers disproportionately from lack of access to both screening for HCV and treatment services with a resultant high rate of chronic hepatitis C related morbidity and mortality. Nigeria is considered among countries with high Hepatitis C burden and the national prevalence average in 2013 was estimated to be 2.2%. Routine screen...
Open Access DOI:10.23937/2469-5858/1510082
Implementation of Comprehensive Medication Management Review (CMR) in the Ambulatory Care Setting
Andrew Giaquinto, Pharm D, Ashmi A Philips, Pharm D, AAHIVP, Michael Casias, Pharm D, BCIDP, Navin Philips, Pharm D, BS, DPLA, and Geralyn M Prosswimmer, MD, FAAP
Article Type: Research Article | First Published: November 04, 2019
The purpose of this project was to conduct pharmacotherapeutic management of patients in the outpatient setting in a standardized manner. A CMR program was implemented at select ambulatory care sites within our healthcare system. This review identified and addressed medication-related concerns in order to optimize disease state management and attain positive patient outcomes. This prospective review included patients 80 years or older with polypharmacy concerns, categorized as having greater tha...
Open Access DOI:10.23937/2469-5858/1510081
Dependence Level and Quality of Life of Older Adults Living in Nursing Home
Semra Gundogdu, Fatma Arikan and Gokhan Keser
Article Type: Research Article | First Published: November 01, 2019
The older adults, in particular, care more about quality of life than longevity. Therefore, initiatives for the elderly should focus on increasing the quality of their life. Many factors affect the older adults' quality of life, but their dependence level is the most important. This study examined the effect of dependence level on quality of life for older adults living in nursing homes. The sample of this descriptive, cross-sectional study included 109 older adults who lived in nursing homes. D...
Open Access DOI:10.23937/2469-5858/1510080
Worsening Physical Function during Hospitalization is Associated with Poor Outcome in Patients with Acute Decompensated Heart Failure
Satoru Sakuragi, Nobuhisa Kodera, Toshihiro Iida, Takashi Yamada, Mitsutaka Nakashima, Atsushi Mori, Yuji Koide, Tadashi Wada, Kenji Kawamoto, Machiko Tanakaya and Yusuke Katayama
Article Type: Research Article | First Published: November 01, 2019
Recent reports have indicated a marked impairment of physical function in patients with acute cardiac disease. In addition, further deterioration in physical activity has been found during hospitalization especially in elderly patients, which may be associated with poor outcome after discharge. In this study, we repeatedly measured gait speed (GS) during hospitalization and evaluated the association of change in GS with mortality after discharge. From January 2015 to October 2017, we enrolled 44...
Open Access DOI:10.23937/2469-5858/1510079
The Relationship between Foot Care Behaviors and Metabolic Control Criterıa of the Elderly wıth Diabetes
Sumeyra Mihrap ILTER, Ozlem OVAYOLU and Nimet OVAYOLU
Article Type: Research Article | First Published: October 26, 2019
The aim of this study is to investigate the relationship between foot care behaviors and metabolic control parameters of the elderly individuals diagnosed with diabetes. The study was carried out as a descriptive study in a training and research hospital between February and July 2017. The study was conducted with patients diagnosed with diabetes. Data of the research; the questionary form was obtained with some laboratory results from the foot care scale (FCS) and patient records. In this study...
Open Access DOI:10.23937/2572-3286.1510048
Chronic Kidney Disease in Sickle Cell Disease: Prevalence and Associated Factors in Cameroon
Hermine Danielle Fouda Menye, Gilles Wandji, Francois F Kaze, Denis G Teuwafeu, Yaya Kane, Marie Patrice Halle, Maimouna Mahamat, Hilaire Djantio and Gloria Ashuntantang
Article Type: Original Article | First Published: October 31, 2019
Studies in Cameroon reported high prevalence of urinary abnormalities in sickle cell anemia (SCA). There is a lack of data in this setting on the prevalence of chronic kidney disease (CKD) in SCA and Sickle cell trait (SCT). This was a cross-sectional study of six months durations (April-September 2017) involving SCA (HB SS) and SCT (HBAS) subjects at Douala Laquintinie hospital. CKD was diagnosed and classified according to 2012 Kidney Disease Improving Global Outcomes (KDIGO) criteria. Only pa...