Open Access DOI:10.23937/2469-567X/1510054
Two Cases with Kawasaki Diseases and Adenoviral Infection: An Etiology or Association?
Tuba Giray, MD, Suat Biçer, MD, Ahmet Saç, Yiğit Moğol, Öznur Küçük, Defne Çöl, Zerrin Yalvaç and Yeşim Gürol, MD
Article Type: Case Report | First Published: May 27, 2019
Although etiology of Kawasaki disease has not been precisely determined, it has been speculated that there was an association with a variety of bacterial and viral agents because of the seasonality of this disease. Some viruses including human adenovirus have been isolated from patients with Kawasaki Disease. Adenoviral infection may mimic Kawasaki disease clinically but it may also be detected in patients with Kawasaki disease....
Open Access DOI:10.23937/2377-9004/1410149
Silver Russel Syndrome and Pregnancy
Juliana Barroso Zimmermmann, Adrianne Maria Berno de Rezende Duarte, Alexander Cangussu Silva, Patrícia de Oliveira Lima, Sophia Helena Batalha, Caroline Souza e Silva, Isadora Marinho de Sousa Bechtlufft, Analu Brito Mendes, Fernanda Coelho Ataydes Seabra, Júlia Alcântara Costa, Ana Clara Furtado Andreatta, Victória da Silva Coelho, Júlia Machado Azevedo de Freitas, Jorge Silveira Júnior, Isabela Rufini Gonçalves, Clarissa Rocha Panconi and André Luiz J
Article Type: Case Report | First Published: May 27, 2019
Silver-Russell syndrome is characterized by decreased intrauterine and postnatal growth, facial dysmorphia (triangular face), clinodactyly of the fifth finger, eating problems and body asymmetry, with a frequency of 1:50,000 to 1:100,000 live births. There are reports of rare familial cases with dominant autosomal, recessive autosomal and/or linked to the X and also of unknown etiology. ...
Open Access DOI:10.23937/2377-9004/1410148
Serum Transaminases Elevations to Predict Adverse Outcomes of Preeclampsia
Elkhoudri N, Fatima Zahra Marhoume, Amor H and Baali A
Article Type: Research Article | First Published: May 27, 2019
Eclampsia is characterized clinically by hypertension, edema, proteinuria, and seizures in women during the second half of pregnancy or in the immediate postpartum period. The pathophysiology remains unclear. One proposed mechanism is that cerebral vasospasm induced by severe hypertension results in ischemia and consequent cytotoxic edema. This is supported by angiographic findings of diffuse or focal vasospasm and by infarctions in some patients....
Open Access DOI:10.23937/2377-9004/1410147
Prognostic Factors for Secondary Cytoreductive Surgery in Recurrent Ovarian Cancer
Alice Savescu, IrinaBalescu, and Nicolae Bacalbasa
Article Type: Review Article | First Published: May 27, 2019
Ovarian cancer is an aggressive and lethal gynaecologic malignant disease with high capacity of relapse even if complete cytoreductive surgery is performed at the moment of the initial diagnosis. Once the relapses occur large studies focused on the subject of the best therapeutic protocol in order to achieve a good control of the disease. This is a literature review of the studies focused on this topic....
Open Access DOI:10.23937/IASAR-2017/1710003
Population Drinking and Gender Gap in Tuberculosis Mortality in Russia
Razvodovsky YE
Article Type: Research Article | First Published: May 25, 2019
Tuberculosis is one of the leading causes of mortality from infectious diseases in many countries. To date, there has not been a satisfactory explanation for the gender imbalance in the prevalence and mortality from tuberculosis. The gender differences in tuberculosis mortality in Russia are among the highest in the world....
Open Access DOI:10.23937/2643-4563/1710013
Prostatic Ductal Adenocarcinoma: An Unusual Subtype of Prostate Cancer
Dinesh Kumar, MBBS, MS and John Lobo, MD
Article Type: Case Report | First Published: May 25, 2019
Ductal adenocarcinoma of the prostate (DAP) is defined as malignant epithelial cells filling large prostatic acini ducts, with preservation of basal cells forming either solid or dense cribriform patterns or a loose cribriform or micropapillary pattern with either marked nuclear atypia (nuclear size six times normal or larger) or Nonfocal comedonecrosis. DAP is a rare variant of prostate cancer, and has poorly-identified clinical characteristics....
Open Access DOI:10.23937/2572-3308.1510040
Anaphylaxis to Water Caltrop (Singoda Flour): A Case Report
Omar E Mohamed, Toni Osborne, Jane Heslegrave and Mamidipudi Thirumala Krishna
Article Type: Case Report | First Published: May 25, 2019
A 57-year-old gentleman of an Asian background developed generalised urticaria, breathlessness and loss of consciousness following ingestion of Singoda flour (water caltrop flour). He was successfully resuscitated with adrenaline, chlorpheniramine and hydrocortisone. Acute mast cell tryptase was elevated and the skin prick test to water caltrop seed was positive. ...
Open Access DOI:10.23937/2469-5793/1510102
Quality Care and the Soul of the Physician
Stephen Muse, PhD
Article Type: Short Note | First Published: May 24, 2019
Quality care for the patient is the source of vocational satisfaction and also a measure of physician well-being. Both are impacted positively by the spiritual life of physicians which contributes significantly to resiliency in the midst of current stresses in medical care. Additionally, a majority of patients identify spiritually integrated care as desirable in their physician's treatment. The author examines qualities of vulnerability, humility and compassion integral to the person of the phys...