Open Access DOI:10.23937/2378-3656/1410279

The Impulsivity of the Elderly - Genital Self-mutilation Case Caused from an Argument with his Wife

Michiho Sodenaga, M.D., Ph.D., Koji Hori, M.D., Ph.D., Chiaki Hashimoto, M.D., Kyoko Katsumura, M.D., Ikuko Katsumura, M.D., Masananori Tadokoro, Ph.D. and Sachiko Tsukahara, PhD

Article Type: Case Report | First Published: August 26, 2019

Suicide rate in Japan is also high. The suicide cases were above 30,000 in 1998, which increased to 34,427 in 2003. Then it gradually decreased to 21,897 in 2016 but the suicide rate at the age of more than 60 years is the highest, accounting for about 40%. Morbidity of depression is said as a risk factor of suicide by elderly people. In this case, we have discussed about a 77 year old man, who was in depressed mood. His wife was also unaware with his depression; he often had quarrels and at las...

 Open Access DOI:10.23937/2378-3656/1410278

Surviving a Single Ventricle and a Single Atrium with a Situs Inversus Viscerum

Randa Tabbah, MD, Rachoin Rachoin, MD, Bassam Harb, MD and Kabalan Saroufim, MD

Article Type: Case Report | First Published: August 24, 2019

We report a rare case of an 18-years-old female surviving a single ventricle malformation associated with a single atrium and a situs inversus viscerum. She was misdiagnosed in utero and at birth and lost to follow up since her early age when diagnosed at 4-years-old and didn't undergo any palliative surgeries after then due to financial issues. Patient was admitted for heart failure decompensation with hepatic congestion, supraventricular arrhythmias and bilateral pleural effusion and was treat...

 Open Access DOI:10.23937/2378-3656/1410277

Tracheal Bronchus: Rare Cause of Recurrent Pneumonia and Worsening Bronchiectasis in Adults

Asma Jamil MD, Ayesha Jamil MD, Rajesh Gulati MD, Alina Popa MD and Hiba Ismail

Article Type: Case Report | First Published: August 14, 2019

True tracheal bronchus is an aberrant bronchus arising above 2-6 cm from carina, from the lateral wall of trachea and directed towards the upper lung lobe. Frequently located on the right side, it can be further described as supernumerary if there is an anatomic right bronchus with normal segmental apical, anterior and posterior bronchi. It is considered displaced if it's accompanied by an absence of anatomic segmental bronchi. Tracheal bronchus can supply the entirety or part of the upper lung ...

 Open Access DOI:10.23937/2378-3656/1410276

Assessment of Knowledge, Attitude and Practice (KAP) on Prevention of Malaria at Gode Lalo Kebele (010), Anchar Woreda, West Haraarge Zone, Oromia, Ethiopia: A Community Based Descriptive Cross-Sectional Study Methods

Rahel Miliyon Mokonen, BSc, Maleda Tefera Iffa, BSc, MSc and Masresha Leta Serbesa, BSc, MSc

Article Type: Case Report | First Published: July 31, 2019

Malaria is a major public health problem in worldwide and causes high morbidity and mortality, despite global efforts to eradicate the disease. While the disease is easily preventable, curable and treatable, it remains a big health threat to many communities all over the world; most especially in Sub-Saharan Africa. Malaria affects about 5% the world’s population. It is the leading cause of death in children under 5 years in sub Saharan Africa still among the ten top leading causes of morbidit...

 Open Access DOI:10.23937/2474-3682/1510138

Left Atrial Mass

Umar Khan

Article Type: Image Article | First Published: August 22, 2019

81-year-old man presented with one day history of visual disturbance with associated chest discomfort. At the time of initial assessment his visual deficits had resolved. Initial CT brain showed area of hypoattenuation involving right occipital lobe concerning for an infarct. His background history included atrial fibrillation for which he was therapeutically anticoagulated with warfarin and INR was 2.7. Transthoracic echocardiogram showed a severely dilated leftatrium with a large mobile mass a...

 Open Access DOI:10.23937/2572-3278.1510040

Lifestyle Behaviors in Relation to Dietary Quality by Diabetes Status in U.S. Adults

Afnan A Al-Ibrahim, PhD and Robert T Jackson, PhD, RD

Article Type: Original Article | First Published: September 07, 2019

The National Health and Nutrition Examination Survey (NHANES) is an ongoing program of the National Center for Health Statistics, which is a part of the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services. NHANES is a cross-sectional survey that collects information on the health and nutritional status of adults and children in the United States. Participants in the NHANES surveys are selected using a complex, stratified multistage probability cluster s...

 Open Access DOI:10.23937/2572-3278.1510039

Potential Therapeutic Effects and Bioavailability of Wogonin, the Flavone of Baikal Skullcap

Zahra Gharari, Khadijeh Bagheri, Mortaza Khodaeiaminjan and Ali Sharafi

Article Type: Review Article | First Published: September 06, 2019

The flavonoids extracted from dried roots of Scutellaria species have been used in traditional Eastern medicine for the treatment of several human ailments, including cancer and inflammation. Modern science proved that wogonin is one of the major bioactive agents responsible for the physiological activity of Baikal skullcap (Scutellaria baicalensis Georgi.), which has been regarded as a potent anticancer agent. In this mini review, anti-inflammatory, antioxidant and anticancer activity of wogoni...

 Open Access DOI:10.23937/2572-4053.1510026

Cluster Analysis and Phenotyping Based on Association of Sleep Studies and Cardiovascular Comorbidities

John Arek Kileci, Derya Arkonac, Leslie Seijo and Alfredo Astua

Article Type: Research Article | First Published: August 28, 2019

Obstructive Sleep Apnea (OSA) is a complex disease process with a known significant association with cardiovascular diseases and the metabolic syndrome. This study aimed to define phenotypes of OSA based on sleep studies and cardiovascular comorbidities and to further investigate whether there would be any meaningful association between these disease processes. Defining phenotypes could assist in individual targeted treatments for patients with OSA....

 Open Access DOI:10.23937/2469-5718/1510137

Treatment of Direct Head of the Rectus Femoris Injury with PRP Therapy in a Division I Basketball Player

Matthew Quinn, BS, Nicholas Lemme, MD, Phillip Salko, MD and Ramin R. Tabaddor, MD

Article Type: Case Report | First Published: August 22, 2019

The Rectus Femoris (RF) is the most commonly injured quadriceps muscle and is second only to the hamstring in prevalence amongst lower extremity injuries occurring in athletes. For most high-level athletes, injuries involving these anatomical structures takes an average of 38 days for return to sport. Platelet Rich Plasma (PRP), is an orthobiologic that is commonly used in the treatment of musculoskeletal injuries. PRP acts as a catalyst in the healing process by using the patient's own blood to...

 Open Access DOI:10.23937/2572-4215.1510016

Repercussions of Smoking Habit on Orofacial Pain and Temporomandibular Dysfunction: Integrative Review

Oliveira-Souza AIS, Oliveira Ferro JK, Santana da Silva TP, Vasconcelos SC, Costa Lima, MD, and Oliveira DA

Article Type: Integrative Review | First Published: August 21, 2019

Temporomandibular dysfunction (TMD) can be triggered by several factors, such as parafunctional habits, among them: smoking. However, the relationship between these two conditions is unclear. The aim of this study was to describe the repercussions of smoke habits in patients with TMD. This is an integrating review with a guiding question considered Population, Intervention, Comparison and Outcomes (PICO). The search strategy was conducted following some Preferred Reporting Items for Systematic R...