Open Access DOI:10.23937/iacph-2017/1710004
On the Neurophysiology of Delusional Disorders: Top-Bottom vs. Bottom-Up Theories
Gentian Vyshka and Jera Kruja
Article Type: Opinion Paper | First Published: October 14, 2019
The psychopathology of delusions has been indelibly denoted from top-bottom theories, with a very long psychiatric tradition explaining the issue as a cortical derangement. The reverse face of the entire issue has been poorly if ever, scrutinized. The role of the peripheral nervous system in the installing and the maintaining of delusive ideas and convictions, albeit elusive, need to be addressed. The hallmark of bottom-up theory relies upon distorted primary processing of peripheral stimuli, wi...
Open Access DOI:10.23937/2378-3656/1410289
Disseminated Nocardiosis in an Immunosuppressed Patient with Sarcoidosis
Zachary Koehler, OMS IV, MPH, Jun Park, MD and Nicholas Jenkins, MD
Article Type: Case Report | First Published: October 07, 2019
Nocardiosis is a relatively rare disease with an incidence of 3 cases per 1,000,000 each year in the United States. The infection is caused by the Nocardia spp., which are aerobic, gram-positive, branching, weakly acid-fast bacilli found primarily in soil, water and decaying vegetation. Nocardiosis can be localized to a single organ, such as the skin or lung, or disseminated. Immunocompetent patients who are affected typically experience a chronic course involving one organ, most commonly the lu...
Open Access DOI:10.23937/2378-3656/1410288
An Unusual Case of Palpitations: Pectus Excavatum
Zulfiqar Ali Sandhu, Sharjeel Shaikh and Aidan Buckley
Article Type: Case Report | First Published: October 04, 2019
Pectus excavatum is a congenital deformation of the chest, presenting as a funnel-shaped impression in the median frontal chest between the fourth and the seventh rib. Asymmetric presentation occurs, and the extent of deformation may vary from slight to serious. Exact numbers about prevalence are difficult to obtain, as the deformation is often not noted or-when noted-is not mentioned in the medical reports. Pectus excavatum is found in Europe in at least one in every 1000 births, mainly in men ...
Open Access DOI:10.23937/2378-3656/1410287
No doubts left in Gastric Tumors. Gastric Adenomyoma Detected by EUS
Ulises Leal Quiroga, Erik Antonio Mier Escurra and Eduardo Mendoza Fuerte
Article Type: Case Report | First Published: October 03, 2019
Endoscopic ultrasound is important to assess gastric tumors in pediatric age. However, at present there is little information about its indications, applications and risks, as well as difficulty in obtaining adequate training. A 5-year-old male patient with a gastric tumor under study, in the endoscopy, an umbilicated tumor suggestive of ectopic pancreas is observed, the endoscopic ultrasound reveals that it is dependent on the muscular layer, pathology diagnosed Gastric adenomyoma....
Open Access DOI:10.23937/2469-5823/1510133
Parenting an Autistic Child: A Qualitative Study
Aysel Topan, PhD, MSc, RN, Serap Demirel, MSc, RN, Isin Alkan, MSc, RN, Tulay Kuzlu Ayyildiz, PhD, MSc, RN and Sevda Dogru, MSc, RN
Article Type: original Research | First Published: September 26, 2019
To determine feelings and thoughts of parents with autistic children. This qualitative study consisted of 20 parents. 'Personal Information Form' and semi-constituted 'Guide Interview Form' with qualitative face-to-face technique were used. Thematic analysis method was used for analyses. The mean age of children was 10.80 ± 4.30 (3-16 year-olds). Expressions of parents were grouped under the following main themes: Feelings of parents when they learnt about the disease, how this condition affect...
Open Access DOI:10.23937/2469-5777/1510078
Isolated Avulsion Fracture Lesser Tuberosity of the Humerus, a Rare Presentation Post Seizure
Jaya TS, Hadizie D and TMS Muzaffar
Article Type: Case Report | First Published: September 18, 2019
Isolated humeral lesser tuberosity fracture is rare and is usually associated with fractures of the proximal humerus. Trauma precedes most reported cases. We report a isolated fractured lesser tuberosity occurring in a gentleman post seizure. Open reduction and internal fixation was performed. Functional outcome was successful, and the patient regained his normal pain-free shoulder function 3 months surgery. Avulsion Fracture Lesser Tuberosity of The Humerus is a rare injury that usually occurs...
Open Access DOI:10.23937/2469-5777/1510077
Successful Non-Operative Management of Multi-Trauma Patient Suffering from Multiple Intra-Abdominal Injuries - A Case Report
Georgios Theodoros Liagkos, MD, Christos Chouliaras, MD, Aris Papadopoulos, MD and Constantine Vagianos, MD
Article Type: Case Report | First Published: September 14, 2019
Trauma represents the main cause of death among people under the age of 35 worldwide. Until the 90s, the operative management (OM) was the golden standard of treatment for trauma patients with abdominal bleeding. Over the last few decades, though, a shift has been made from operative to non-operative management (NOM) in haemodynamically stable trauma patients with findings of recent intra-abdominal bleeding and no signs of peritonitis. However, NOM may be particularly challenging in patients wit...
Open Access DOI:10.23937/2643-4474/1710023
Tension Pneumocephalus Causing Cerebral Venous Sinus Thrombosis
Nissar Shaikh, Gulzar Hussain, Adnan Khan, Muhammad Mohsin Khan, Mamdouh Al Mustafa, Moad Ehfeda, Muhammad Zubair and Umais Momin
Article Type: Case Report | First Published: September 13, 2019
A 38-year-old Asian male had craniotomy with excision of a left frontal mass which extended into the lateral ventricles. External ventricular and subdural drains were inserted at the end of the procedure. He received mannitol and furosemide intraoperatively. Immediately after surgery he developed tension pneumocephalus, diabetes insipidus and fever. Two days after surgery, magnetic resonance imaging (MRI) showed transverse, sagittal sinus thrombosis extending into the right internal jugular vein...
Open Access DOI:10.23937/2572-4061.1510029
Toxicity Evaluation of Cellulose Nanofibers (Cnfs) for Cosmetic Industry Application
Soo Min Kim, Eun Ji Gwak, Seung Hwan Jeong, Sang Mock Lee, Woo Jong Sim and Jin Sik Kim
Article Type: Original Article | First Published: September 16, 2019
The two main types of nanocelluloses are cellulose nanofibers (CNF) and cellulose nanocrystals (CNC). Both CNFs and CNCs are nanoscale cellulose fibers that have shown reinforcing effects in polymer nanocomposites. CNCs and CNFs are different in shape, size and composition. Cellulose nanofiber (CNF) is produced by mechanical treatment with or without enzymatic or chemical pre-treatment. The material consists of long and thin fibers which form a three-dimensional network. It has high viscosity an...
Open Access DOI:10.23937/2474-3658/1510092
Spontaneous Skin Lesions: The Importance of Differential Diagnosis
Montilla Alvaro Mabel, Delgado Vidarte Ana and Alcantara Luna Sara
Article Type: Case Report | First Published: September 19, 2019
Dermatofitosis are cutaneous infections caused by fungus. They affect the keratinized surface layers epidermis, hair and nails. We report a case of a 42-year-old female patient who presented with erythematous annular lesions with a raised edge on the chest, back, neck, hands and arms. These lesions were compatible with erythema multiforme, subacute lupus and/or ringworm infection. The biopsy of lesions was done and the study showed the structures suggestive of fungi in hematoxylin-eosin staining...