Open Access DOI:10.23937/2643-4563/1710014

Atypical Presentation of Denny-Brown Syndrome: A Case Report and Review of Literature

Romeo V Porlas Jr, MD, Scott Riley K Ong, MD, Gerard Raimon Saranza, MD, FPNA and Jose Paciano B Reyes, MD, FPNA

Article Type: Case Report | First Published: June 01, 2019

Paraneoplastic subacute sensory Denny-Brown neuronopathy affects the peripheral nervous system and commonly associated with small cell lung carcinoma and with other tumor types in 14.4% of cases. Presented is a case of 23, female with progressive numbness of extremities and ataxia. Investigations showed diffuse sensory neuronopathy and elevated CSF IgG on CSF studies. Paraneoplastic autoantibodies revealed negative results yet imaging showed an anterior mediastinal mass, which turned B-c...

 Open Access DOI:10.23937/2643-461X/1710021

Causal Relationship of Wastewater Management and Morbidity of Diseases Related to Wastewater in Colombia

Juan Pablo Rodríguez Miranda

Article Type: Short Communication | First Published: May 30, 2019

The causal relationship between environmental pollution and specifically the lack of adequate environmental sanitation, in the context of the elimination of excreta and solid waste disposition on site guaranteed for this purpose, conceives a high risk in the proliferation of vectors and therefore proportional generation morbidity in diseases of a hydric nature that directly or indirectly affects the population....

 Open Access DOI:10.23937/2469-5742/1510059

Lower Urinary Tract Mesh Perforations following the Insertion of Mid-urethral Tapes or Transvaginal Mesh: A Tertiary Unit's Experience

Dalia Saidan, Veenu Tyagi, Paraskeve (Voula) Granitsiotis and Karen Guerrero

Article Type: Original Research Article | First Published: June 01, 2019

Mesh perforation of the urinary-tract is a rare complication of midurethral tapes for stress urinary incontinence (SUI), and transvaginal mesh for pelvic organ prolapse (POP). We review the outcomes of women presenting to our tertiary service. This retrospective review identifies patients presenting to our unit between January 2011 - June 2017....

 Open Access DOI:10.23937/2469-5777/1510075

Focused Assessment with Sonography in Trauma (FAST) Examination in a Patient with Situs Inversus and Splenic Contusion

Antonio E Muñiz, MD, FACEP, FAAP

Article Type: Case Report | First Published: May 30, 2019

Situs inversus totalis is a rare anatomic anomaly in which the normal arrangement of the heart and viscera is reversed to form a mirror picture of their usual anatomic position. It typically poses a diagnostic dilemma during the initial assessment acute thoracoabdominal trauma. A case is presented of the findings found on the focused assessment with sonography in trauma (FAST) examination of a young adult with situs inversus who sustained solid organ injury from blunt trauma....

 Open Access DOI:10.23937/2469-5777/1510074

A Comparison of Blood Loss with or without Haemostasis after the Tourniquet Released in Minimally Invasive Total Knee Arthroplasty

Fujiang Cao, Tao Liu, Yunqiang Xu and Shiqing Feng

Article Type: Research Article | First Published: May 29, 2019

Eighty-four patients were recruited for a cohort study of the minimally invasive total knee arthroplasty (MISTKA) for the treatment of osteoarthritis. They were divided into two groups, 42 patients with thorough haemostasis in the minimally invasive total knee arthroplasty (group A) and the other 42 patients without a thorough haemostasis procedure in the minimally invasive total knee arthroplasty (group B). The surgery in both groups was carried out by a single surgeon at one institution using ...

 Open Access DOI:10.23937/2469-5777/1510073

Choosing the Most Distally Located Digital Artery Perforator as the Pedicle of the Homodigital Island Flap

Ersen B

Article Type: Case Report | First Published: May 29, 2019

It is difficult to cover distal defects of the dorsum, ulnar or radial sides of the finger like those of the nail matrix or a terminal extensor tendon, because there is less soft tissue in this region. Appropriate reconstruction should preserve the aesthetic appearance, provide sensate coverage without pain in important anatomical regions, and minimize donor-site morbidity....

 Open Access DOI:10.23937/2572-3243.1510067

Wartime Orthopedic Surgical Judgment

Ismet Gavrankapetanovic and Adnan Papovic

Article Type: Short Note | First Published: May 29, 2019

Orthopedic surgical judgment and a decision-making process in peace is a topic that has been discussed and written about for decades, but the wartime surgical judgment is something that cannot be predicted or prepared for. There is no wartime surgery class in any medical school worldwide that can prepare a surgeon for his/her work under a wartime environment applying all of their knowledge, skill and effort to achieve the best possible result for a patient. With this short note, authors would li...

 Open Access DOI:10.23937/2474-1353/1510096

Sexually Transmitted Disease and Leukorrhea in a Rural South Asian Himalayan Community: A Study of Perceptions and Barriers to Treatment

Shobana L Ramasamy and Sonia Chery MD

Article Type: Original Article | First Published: May 29, 2019

Leukorrhea, or vaginal discharge, is often a primary presenting symptom of sexually transmitted disease (STD) in women of rural Himalayan communities of India. Given the rising prevalence of leukorrhea in these communities, understanding the baseline knowledge and barriers to treatment among women and health-workers is imperative to improving awareness and implementing effective treatment....

 Open Access DOI:10.23937/2469-5734/1510091

Association between Pathogens and Periodontal Status of Chinese Women during Pregnancy and within One Year after Delivery

Zhen Huang, Zhibin Chen, Lu He, Yueqin Sha and Jun Kang

Article Type: Clinical Research Article | First Published: May 29, 2019

The aim of this study is to compare the detection of periodontal pathogens in the oral cavity of pregnant and non-pregnant women in the childbearing age and to understand the influence of pregnancy status on the ecology of periodontal pathogens. Non-stimulated whole saliva samples were collected from a total of 84 pregnant women (including 29 during the first trimester, 29 in the second trimester, 26 at the end of pregnancy), 33 postpartum women, who were chosen randomly. The plaque index (PlI),...

 Open Access DOI:10.23937/2469-5734/1510090

Case Report: Molar Intrusion with Temporary Anchorage Device

Israel K, Gonzalez N and Ximena Toledo Pinto

Article Type: Case Report | First Published: May 29, 2019

A clinical case report of the 2 mm. intrusion of tooth 1.6 and the rehabilitation of the space left by the extracted tooth 4.6 with a single implant and crown. Four micro screws were installed in relation to tooth 1.6, two buccal and two in the hard palate. The tooth was intruded in a period of six months with two power chains anchored to cross-shaped micro screws. The chains were replaced every 21 days. The implant to replace tooth 4.6 was also placed and after six months tooth 1.6 was in posit...