Open Access DOI:10.23937/2469-567X/1510053
Occult HBV Infection in Pregnant Women in Northern Benin
Massimo De Paschale, Cristina Ceriani, Teresa Cerulli, Debora Cagnin, Serena Cavallari, Joseph Ndayake, Dieudonne Zaongo, Kouma Diombo, Gianbattista Priuli, Paolo Vigano and Pierangelo Clerici
Article Type: Original Article | First Published: April 18, 2019
Occult infections (OBIs) due to hepatitis B virus (HBV) are identified by the presence of HBV DNA without surface antigen (HBsAg). The population prevalence of HBsAg is high in Benin, but there are no data concerning the presence of OBIs. The aim of this study was to evaluate the presence of OBIs using samples taken from 220 pregnant Beninese women for the purposes of a previous study of the prevalence of HBV markers. Twenty-four women were HBsAg positive (group I); of the 196 HBsAg negative wom...
Open Access DOI:10.23937/2378-3397/1410099
Management Outcome and Associated Factors of Surgically Treated Non Traumatic Acute Abdomen at Attat Hospital, Gurage Zone, Ethiopia
Tekalign Admasu Gebrie, Tilahun Beyene Handiso and Shemsu Nuriye Hagisso
Article Type: Original Article | First Published: April 17, 2019
Non traumatic acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. The causes of non-traumatic surgical acute abdomen and their relative incidence vary in different populations. The aim of this study was to assess the management outcome and associated factors of surgically treated non-traumatic acute abdomen. Hospital-based prospective cross sectional study was conducted on surgically treated non-traumatic acute abdomen ...
Open Access DOI:10.23937/2378-3419/1410109
Does a New Information Structure about Cosmetic Outcome of Breast-Conserving Treatment Result in a Better Informed Patient? Outcome of a Comparative Case Study
ATPM Brands-Appeldoorn, MSc, AJG Maaskant-Braat, MD, PhD, VCG Tjan-Heijnen, MD, PhD and RMH Roumen, MD, PhD
Article Type: Original Article | First Published: April 17, 2019
A comparative case study compared data of two cross-sectional studies. The historical group (HG) was treated in 2013, the implementation group (IG) in 2016. The HG received a questionnaire, which resulted in implementation of the following items in our practice, expansion of the BCT brochure and photo book, incorporation of the Harvard and Numeric Rating scale. The IG received the same questionnaire, with the addition of nine more questions concerning specific implementation aspects....
Open Access DOI:10.23937/2377-4630/1410088
Postoperative Analgesia after Combined Obturator Nerve and Adductor Canal Block in Total Knee Arthroplasty
Melike Seyda Dagdelen, Fatma Yesim Abut, Veysel Erden and Seda Seven
Article Type: Original Article | First Published: April 17, 2019
The purpose of this study was to evaluate adding an obturator nerve block to adductor canal block may reduce tramadol consumption (primary endpoint), improve pain relief, enhance early ambulation ability, and reduce side effects (secondary endpoints) after TKA compared with single adductor canal block. This study was carried out retrospectively in order to compare the effect of the single injection adductor nerve block, which was applied to the patients undergoing total knee arthroplasty (TKA) u...
Open Access DOI:10.23937/2377-9004/1410144
A Rare Case of Large Uterine Myoma in an Antenatal Women with Situs Inversus: A Case Report
Harsharan Kaur and Naina Kumar
Article Type: Case Report | First Published: April 15, 2019
Leiomyomas or fibroids are the most common benign tumor of uterus and it often increases in size during pregnancy. Its incidence in pregnancy is approximately 1.5-2% and is associated with increased risk of complication during pregnancy including abortions, preterm labor, red degeneration, malpresentations, increased cesarean section rates, postpartum hemorrhage. We hereby, discuss a case of large multi-lobed uterine fibroid complicating the second trimester of pregnancy. Our patient presented w...
Open Access DOI:10.23937/2469-5866/1410027
Recurrent Agressive Brain Radionecrosis or High-Grade Glioma: How to Treat?
Rascon-Ramirez Fernando Jose Salazar-Asencio OA and Trondin A
Article Type: Case Report | First Published: April 15, 2019
Brain radiation necrosis (BRN) is a side effect of radiotherapy (RT), affecting mainly the white matter and can appear from a few weeks to several years after RT. It's incidence of 3-9% is increasing as survival increases. Histopathology (HP) shows avascular damage, demyelination and direct necrosis. Brain radiation radionecrosis and the tumor progression are difficult to differentiate as both entities are presented with similar radiological and clinical characteristics, such as neurological def...
Open Access DOI:10.23937/2572-4142.1510008
Diagnostic Findings in 60 Cases of Isolated and Syndromic Congenital Olfactory Dysfunction
Jean-Jacques Braun, MD, Marion Renaud, MD, Sebastien Moliere, MD, Vincent Noblet, MD, Stephane Kremer, MD, Helene Dollfus, MD and Sophie Riehm, MD
Article Type: Original Article | First Published: April 15, 2019
Congenital anosmia (CA) is rare comparatively to acquired anosmia. The pathophysiology and the genetic background remain poorly understood. This study aims to review the main clinical and Magnetic Resonance Imaging (MRI) findings to discuss the diagnostic strategy, the pathophysiology and the genetic basis of the different forms of CA. A series of 60 patients with congenital anosmia was reviewed retrospectively out of 425 non-sinus-related anosmia and compared to the literature data. CA was asse...
Open Access DOI:10.23937/2474-3674/1510076
Postoperative Delirium in a Patient Following Laparoscopic Cholecystectomy and Spinal Anesthesia
Arash Peivandi Yazdi, Leila Mashhadi and Mehryar Taghavi Gilani
Article Type: Case Report | First Published: April 15, 2019
Delirium is one of the postsurgical complications in the geriatric population. Its incidence was reported up to 65% following major operations, and it is accompanied with high cost, morbidity and mortality. A 65-year-old man candidate for laparoscopic cholecystectomy under spinal anesthesia. His hypertension was under control with captopril 50 mg daily. In the middle of the surgery, he had cardiac arrest and cardiopulmonary resuscitation was performed. Vital signs improved within 6 minutes, but ...
Open Access DOI:10.23937/2474-3674/1510075
Glaucopsia in Emergency Department
Sinan Cem Uzunget, MD, Zamir Kemal Erturk, MD, Vahide Bilir Ozban, MD and Osman Hakan Guclu, MD
Article Type: Case Report | First Published: April 15, 2019
Glaucopsia is a rare disease that ensue with blue/gray vision or blurring of vision as a result of amine exhalation effect. It is known that the amine vapor forms caused epithelial edema and microcysts formation under the epithelium of the corneal surface. This mechanism is reason of ocular effects. The symptoms of amine effect start 30-90 minutes after exposure and within 4-6 hours and it recovers without any treatment. Amine vapor does not associate any chronic eye diseases. We present a case ...