Open Access DOI:10.23937/2643-4474/1710015

Delayed Quadriplegia after Cervical Discectomy and Fusion Surgery

Siavash S Haghighi, MD, Bertha Ramirez, MD and Richard Zhang, MD

Article Type: Case Report | First Published: May 08, 2019

Acute or delayed paraplegia or quadriplegia following anterior cervical discectomies and fusion are not common. We report this single case report of delayed quadriplegia following an anterior cervical discectomies and fusion without any change of sensory or motor evoked potentials during the operation. The intraoperative somatosensory (SSEPs) were performed by stimulation of tibial nerves or the median (MN). Motor evoked potentials (TcMEPs) were recorded from intrinsic hand or foot muscles after...

 Open Access DOI:10.23937/2469-5750/1510070

Approaches to the Potential Use of Stromal Vascular Fraction and Coenzyme Q10 in Dermatological Aesthetics: A Systematic Review

Isabela de Lima Bocalon, Mayara Fernandes Veri Marques and Idiberto Jose Zotarelli Filho

Article Type: Research article | First Published: May 08, 2019

With aging, occurs a decrease in the number of melanocytes active enzymatically around 12.0% to 24.0% every ten years. As a treatment, stem cell therapy with adult stem cells has been the focus of many studies. Among adult stem cells, adipose-derived stem cells (ADSC) ubiquinone, known as coenzyme Q10 (CoQ10), is a lipid-soluble antioxidant. It is shown to reduce lipid peroxidation of low-density lipoprotein regenerates endogenous vitamin E and protects cells against oxidative stress induced by ...

 Open Access DOI:10.23937/2378-3419/1410114

A Single Institution Study Experience of Secondary Breast Angiosarcoma after Breast Conserving Treatment: Multidisciplinary Management

Angela Strazzanti, MD, Claudio Trovato, MD, Santi Gangi, MD, Dario Marletta, MD, Roberto Milazzotto, MD and Corrado Spatola, MD

Article Type: Multidisciplinary | First Published: May 08, 2019

The aim of this study, focusing on a small number of cases, is to deal with the angiosarcoma of the breast, representing less than 1% of all soft tissue breast tumors, and finally share our experience. As a consequence of breast-conserving therapy (BCT) that is the standard treatment nowadays, a new type of angiosarcoma has been highlighted: Radiation-Induced Angiosarcoma (RIAS). Here is reported a retrospective analysis of RIAS patients' characteristic features, together with an account of the ...

 Open Access DOI:10.23937/2474-1353/1510095

Influence of Maternal BMI and Maternal Weight Gain during Pregnancy on Maternal and Perinatal Outcome - A Retrospective Data Analysis of Pregnancies during 2004 and 2014

Kundu S, Kaukemueller L, von Kaisenberg C, Hillemanns P, Soergel P, Kuehnle E and Staboulidou I

Article Type: Original Article | First Published: May 06, 2019

The aim of this study was to describe the influence of maternal pregnancy body mass index (BMI) and maternal weight gain during pregnancy on perinatal and neonatal outcomes. Retrospective analysis of singleton pregnancies > 37 weeks of gestation delivered between 2004 and 2014. Fetal anomalies and intrauterine deaths have been excluded....

 Open Access DOI:10.23937/2469-5823/1510123

Relationship between Rare Earth Elements, Lead and Intelligence of Children Aged 6 to 16 years: A Bayesian Structural Equation Modelling Method

Wang Yongwei, Wang Dan, Huang Yi Na, Sheng Peijia and Yang Bing

Article Type: Original Research Article | First Published: May 06, 2019

Exposure to REEs and lead was assessed by analysing the scalp hair samples of children aged 6-16 years who lived in a rare earth mining area, by atomic absorption spectrometry. Intelligence was assessed using Raven's Standard Progressive Matrices. Bayesian Structural Equations were built to explore different patterns of associations between REEs and lead explore and children's intelligence, and the best-fitted one was selected for the most reasonable explanation according to DIC and BIC. In our ...

 Open Access DOI:10.23937/2474-3658/1510078

Assessing Risk Factors for Trypanosome Infections in Cattle in Wildlife Interface Areas in Northern Tanzania

Kelvin Ngongolo, Anna B Estes, Peter J Hudson and Paul S Gwakisa

Article Type: Original Article | First Published: May 04, 2019

Trypanosomosis is a vector-borne, tropical disease that causes mortality and morbidity in livestock and humans. In this study we investigated the risk factors for trypanosome infection in cattle in the Maasai Steppe of northern Tanzania. We assessed the influence of age, sex, herd size and history of treatment against trypanosomosis as risk factors of trypanosome infection. Cattle blood samples were collected from 150 cattle in three villages in the vicinity of Tarangire National Park, which act...

 Open Access DOI:10.23937/2378-2951/1410143

Management of Recurrent Acute Thrombotic Occlusion of a Giant Coronary Artery Aneurysm Presenting with Recurrent Inferior ST Segment Elevation Myocardial Infarction

Liew Boon Wah Matthew, Lee Shao Guang Sheldon and Lim Yaozong Benji

Article Type: Case Report | First Published: May 04, 2019

Giant coronary artery aneurysm is an uncommon finding during coronary angiogram. There is limited data or consensus on the management of patients with giant coronary artery aneurysm in the setting of acute coronary syndrome. We present a unique case of a recurrent thrombotic occlusion of the right coronary artery presenting as recurrent inferior wall ST segment elevation myocardial infarction (STEMI) requiring percutaneous coronary intervention. He had failed trial of novel anticoagulant with an...

 Open Access DOI:10.23937/2469-5858/1510070

Dehydration Prevention and Diagnosis: A Study in Long-Term Geriatric and Palliative Care

Prof. Jochanan E Naschitz, MD

Article Type: Research Article | First Published: May 02, 2019

Study Part I is a cross-sectional point of care assessment of data which might distinguish dehydrated from euhydrated subjects. Twelve potential markers of dehydration were evaluated: inadequate fluid intake, vomiting, diarrhea, bleeding, diuretic treatment, serum sodium, serum urea and creatinine, urea/creatinine ratio, estimated glomerular filtration rate, hemoglobin and serum albumin. Study Part II is a longitudinal survey of patients at risk of dehydration under changing clinical conditions....

 Open Access DOI:10.23937/2378-3419/1410113

Treatment of Nephroblastoma in Developing Countries - Experience from a Single Center in Vietnam with NWTS 5 and SIOP 2001 Protocols

Hau Duc Tran and Ba X Hoang

Article Type: Original Research Article | First Published: April 29, 2019

We analyzed outcomes, advantages and disadvantages in application of SIOP 2001 and NWTS 5 protocols in our hospital. Patients with nephroblastoma admitted to National Children's Hospital in Hanoi, Vietnam, had been treated according to the NWTS 5 protocol from 2000-2005, and from 2008-2013 according to the SIOP 2001 protocol. 33 patients, stages I-III treated with NWTS 5 had estimated 5 year EFS 90.1% and OS 96.7% (mean follow up time 30.4 months); 58 patients, stages I-V, treated with SIOP 2001...

 Open Access DOI:10.23937/2469-5734/1510087

Comparing the Effect of Reciproc, ProTaper Next and R-Endo in the Removal of Gutta-percha/Sealer and GuttaFlow during Retreatment

Kaveh Nasiri and Karl-Thomas Wrbas

Article Type: Research Article | First Published: May 01, 2019

Sixty palatal roots of extracted first maxillary molars were selected. The samples were prepared with ProTaper Universal and then randomly divided into two groups (n = 30). In groups A and B, the root canals were filled employing lateral compaction of gutta-percha/AH Plus and GuttaFlow2, respectively. The samples in each group were randomly divided into three subgroups (n = 10). Groups A1 and B1 were retreated using Reciproc. ProTaper Next (PTN) was used in groups A2 and B2, whereas groups A3 an...