Open Access DOI:10.23937/2572-3278.1510033
Psychosocial Outcomes from an Inter-Professional Worksite Weight Loss Program
A Garrett Hazelton, PhD, Leonor Corsino, MD, MHS, Howard Eisenson, MD, Truls Ostbye, MD, PhD, Laura P Svetkey, MD MHS, Ruth Q Wolever, PhD
Article Type: ORIGINAL RESEARCH | First Published: February 21, 2019
Management of obesity and overweight, with even modest success, can significantly ameliorate their public health burden and health care costs. Many employers recognize that obesity and the associated comorbidities decrease productivity and increase healthcare costs. They are therefore motivated to help their employees with obesity to manage their health both for financial reasons as well as for improving workplace productivity and morale. Worksite interventions have had some success in targeting...
Open Access DOI:10.23937/2378-3397/1410096
Duodenal and Jejunal Intussusception from Malignant Melanoma
Niroshini Rajaretnam and Somaiah Aroori
Article Type: CASE REPORT | First Published: February 20, 2019
Intussusception is the leading cause of intestinal obstruction and the second most common cause of an acute abdomen in children behind acute appendicitis but is considered a rare condition in adults with an incidence of only 1-5%. First reported by Barbette of Amsterdam in 1674, intussusception can be defined as the telescoping of a proximal segment of the gastrointestinal tract (intussusceptum) into the adjacent distal segment of the gastrointestinal tract (intussuscipiens). However, it wasn't ...
Open Access DOI:10.23937/ijfa-2017/1710024
The Role of Interfragmentary Compression Screw on Union Rates and Shortening of the First Ray in Lapidus Arthrodesis: A Comparative Study
Andre Busch, Marcus Jager, Florian Dittrich, Andre Sander, Stephanie Herbstreit and Sascha Beck
Article Type: ORIGINAL ARTICLE | First Published: February 18, 2019
Hallux valgus (HV) is a common deformity of the forefoot in which a deviation of the first metatarsophalangeal joint arises. HV has been described to be characterized by a number of structural factors including radiographic angles, metatarsal length, metatarsal head shape, sesamoid position, first metatarsocuneiform joint flexibility and pes planus. The etiology is not fully resolved. However, HV is associated with gender, age and family history. Moreover, it is limited to shoe-wearing cultures ...
Open Access DOI:10.23937/2474-3658/1510070
Distribution of Rotavirus Genotypes among Children with Diarrhea Prior to Vaccine Introduction in Western Kenya
John B Ochieng, Sammy Khagayi, Billy Ogwel, Reuben Onkoba, Evans Apondi, Jane Juma, Mapaseka Seheri, Ina Peenze, Clayton Onyango, Elizabeth Hunsperger, Collins Tabu, Sergon Kibet, Richard Omore, Frank Odhiambo, Jeffrey Mphahlele, Jennifer R Verani, Barry Fields, Godfrey Bigogo, Kayla F Laserson, Jacqueline E Tate, Jason M Mwenda and Robert F Breiman
Article Type: ORIGINAL RESEARCH ARTICLE | First Published: February 16, 2019
Group A rotavirus is the leading cause of diarrhea hospitalization among children worldwide. Most fatal rotavirus-associated diarrhea cases among children under 5 years occur in Africa and Asia. We investigated the molecular epidemiology of circulating rotavirus strains among children less than 5 years in western Kenya to provide baseline data on the prevalence of each genotype prior to the introduction of monovalent rotavirus vaccine in Kenya. From January 2010 to December 2013, stool samples w...
Open Access DOI:10.23937/2469-5858/1510061
Effect of Vitamin D Level and Physical Exercise on the Physical Performance and Functional Test Results in Elderly Women
Neide AP Nascimento, Patricia FP Moreira, Vanessa A Carvalho, Levy Aragao, Rosangela Villa Marin-Mio, Marise Lazaretti-Castro and Maysa S Cendoroglo
Article Type: RESEARCH ARTICLE | First Published: January 23, 2019
Global awareness on vitamin D deficiency and its consequences has been increasing. Furthermore, there is substantial agreement among all guidelines that serum 25(OH)D concentrations < 25-30 nmol/L should be avoided in all age groups. In addition, hypovitaminosis D is a world health problem, and Brazil has an elevated prevalence of hypovitaminosis D among its population. In general, a 25(OH)D level of less than 20 ng/mL has been associated with neuromuscular performance issues in elderly people i...
Open Access DOI:10.23937/2469-5858/1510060
Integrating Traditional Chinese Medicine (TCM) into Health Care of Elderly-A Short Review
Yun-Tai Chen, Yu-Liang Chen, Fu-Yang Ko and Lun-Chien Lo
Article Type: Short Review | First Published: January 23, 2019
Traditional Chinese Medicine (TCM) emphasizes the combination of: The physical, psychological, spiritual, social, and environmental aspects. These aspects encourage human beings to live in harmony with the rhythm of nature. We believe these principles match with up the ideas of holistic care, and the characteristics of TCM therapies are much gentler and safer for the elderly. Nowadays, significant evidence supports the effectiveness and safety of TCM for seniors' health care. In this short revie...
Open Access DOI:10.23937/2469-5858/1510059
Could we Spare Carbapenems for Empiric Therapy in ESBL-Enterobacteriaceae Colonized Elderly with Community-Onset Sepsis?
NAHTIGAL KLEVISAR Mirijam, LUSA Lara, TERZIC Sara, MUELLER-PREMRU Manica, PIRS Mateja and STUPICA Dasa
Article Type: RESEARCH ARTICLE | First Published: January 21, 2019
The preference for empiric antibiotic therapy with carbapenems over non-carbapenems in all extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) colonized patients with sepsis warrants further investigation from an ecologic perspective; even more so in the elderly (≥ 65 years) because the proportion of ESBL-E in adults increases with patients' age. In this retrospective observational study, enrolling 547 ESBL-E colonized elderly patients with community-onset sepsis, hospitalized...
Open Access DOI:10.23937/2469-5793/1510099
Stigma Related to Fear and Shame Restricts Access to HIV Testing and Treatment in Tanzania
Danielle A Walker, Kyle L Johnson and Jacen S Moore
Article Type: Review Article | First Published: February 22, 2019
Tanzania is one of 15 nations that share 75% of the HIV burden in sub-Saharan Africa, with a national prevalence of 5.3% and prevalence rates as high as 30% in special populations. Knowledge about HIV infection, testing, and treatment is low, especially in younger populations, suggesting a need for effective HIV educational programs. We sought to understand the impact of HIV-related stigma and gender roles in HIV education and knowledge in educational programs and explored methodologies that eff...
Open Access DOI:10.23937/2378-3656/1410257
Management of Non-Classic Congenital Adrenal Hyperplasia in Pregnant Woman - Non-Referral Center Experience- Case Report
Zoran Gluvic, Milena Lackovic, Vladimir Samardzic, Bojan Mitrovic, Violeta Mladenovic, Milan Obradovic, Danimir Jevremovic and Esma R Isenovic
Article Type: Case Report | First Published: February 22, 2019
Congenital adrenal hyperplasia (CAH) is a rare autosomal recessive disorder with mutations in genes involved in cortisol and aldosterone production. Based on overall 21-OHase activity, CAH is divided into classic (C-CAH) and non-classic (NC-CAH). Females who suffered from NC-CAH have had increased infertility rates and higher miscarriage susceptibility. The treatment of CAH in pregnancy is still debatable. We present 22 years old pregnant female (seventh week of gestation), who is currently unde...
Open Access DOI:10.23937/2378-3419/1410106
Awareness Level, Knowledge and Attitude towards Breast Cancer between Medical and Non-Medical University Students in Makkah Region: A Cross Sectional Study
Ramya Ahmad Sindi, Asmaa Ahmad Alzahrani, Nesreen Abdullah Alzahrani, Rana Ahmad Bin Salman, Shaimaa Amer Alshareef, Aisha Tabassum and Mohammad Shahid Iqbal
Article Type: Research Article | First Published: February 21, 2019
The worldwide cancer incidence and mortality has rapidly increased in the last decade. The cancer burden globally estimated to have crossed 18.1 million new cases and 9.6 million deaths in 2018. As per the report of GLOBOCAN 2018, the worldwide incidence of breast cancer is 2.08 million and deaths due to breast cancer are 6.3 lakhs. With these figures, breast cancer is the most common cancer diagnosed among women worldwide accounting for 24.2% of all cancers diagnosed in women. As per WHO countr...