Open Access DOI:10.23937/2378-3397/1410095
Early Removal of Foley Catheter after Sigmoid Colectomy for Diverticular Colovesical Fistula without Intraoperative Bladder Repair or Postoperative Cystography: Feasibility of a Quality Improvement Pilot Program
Anthony Carden, MD, Riley K Kitamura, MD, John Leppert, MD and Dan Eisenberg, MD
Article Type: Review Article | First Published: February 20, 2019
The treatment of colovesical fistula (CVF) due to diverticular disease is complex and imposes significant risk to the patient. Specifically, management of the bladder defect after fistula takedown is inconstant. In this quality improvement study, we report on the safety of early (< 7 days) urethral catheter removal without intraoperative or postoperative bladder imaging. Between 2008 and 2018, patients who were operated on for CVF due to diverticular disease were identified retrospectively. Medi...
Open Access DOI:10.23937/2469-5718/1510121
Determining Rheumatology Patient Interest in a Group Strength Training Program - Results of an Exercise Survey
Kevin Rhie, MD, Danielle M Feger, MS, Rayford R June, MD, Christopher N Sciamanna, MD, MPH and Sharon E Banks, DO, MS
Article Type: Research Article | First Published: February 20, 2019
Exercise has proven benefits in rheumatologic disease including reducing inflammation and improving symptoms. A Group Strength Training (GST) program design has improved adherence to exercise in primary care patients but the effect is unknown in rheumatology patients. We examined the interest of rheumatology patients with different diagnoses and the effect of comorbidities in pursuing an organized GST program. We conducted a cross-sectional survey of patients from a rheumatology practice in cent...
Open Access DOI:10.23937/2469-5734/1510080
Dental Caries in Geriatric Dentistry: An Update for Clinicians
Rapp L, Maret D, Diemer F and Lacoste Ferré MH
Article Type: Review Article | First Published: February 20, 2019
Caries is a progressive infectious disease that, without treatment, leads to the destruction of the dental organ and can damage the surrounding tissues. According to the WHO, it is the third global scourge affecting all ages of life. Over the past 40 years, prevention campaigns for children and adolescents have led to a decline in the prevalence of caries. The CAOD index for children aged 6 to 12 years decreased from 4.20 in 1987 to 1.23 in 2006 and there is an increase in the number of children...
Open Access DOI:10.23937/IAIM-2017/1710011
Spontaneous Coronary Artery Dissection: An up to Date
Dario Buccheri and Daniele Adorno
Article Type: Commentary article | First Published: February 20, 2019
Spontaneous dissection of the coronary artery (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and is defined as a dissection of the coronary artery not associated with an atherosclerotic process, plaque rupture and/or thrombus formation and, by definition, not iatrogenic. The resulting myocardial damage is determined not by the rupture of a plaque indeed, but by the formation of an intramural hematoma (IMH) or intimal/medial disruption that determines the dissection of the arterial ...
Open Access DOI:10.23937/2378-3656/1410256
High Focused Ultrasound in a Case of Previously Untreated Breast Cancer
Hans-Christian Kolberg, MD, PhD and Cornelia Kolberg-Liedtke, MD, PhD
Article Type: Case Report | First Published: February 20, 2019
High focused ultrasound is a non-invasive treatment used for destroying benign and potentially also malignant tumors. Recent data have suggested that the generation of large volumes of tumor debris by high focused ultrasound may initiate an adaptive antitumor immune response by the release of tumor antigens and damage associated molecular patterns. The patient, a 48-year-old woman who was diagnosed with hormone receptor positive HER2 negative breast cancer 17 months before presentation had repea...
Open Access DOI:10.23937/2378-3656/1410255
Soluble ST2 - A Potential Biomarker of Rheumatic Heart Disease
Ramona Januska, MD, Alexander von Meyer, MD, Martin Fleck, MD and Andreas Luchner, MD
Article Type: Case Report | First Published: February 18, 2019
Soluble ST2 might be a sensitive marker of rheumatic (peri-)carditis before and during antirheumatic treatment. We describe a case of rheumatic heart disease with pericarditis and mild left ventricular dysfunction which was successfully treated by immunosuppression. An interesting pattern of activation of the cardiac marker ST2 was observed at detection and during treatment. It suggests ST2 as biomarker for diagnosis and monitoring of disease activity in rheumatic heart disease. Rheumatic disord...
Open Access DOI:10.23937/2378-3001/1410079
Cognitive-Functional Interaction in Patients with Vascular Dementia
Edith Labos, Karina Zabala, Miriam Del Rio, Sofia Trojanowski, Alejandro Renato and Osvaldo Fustinoni
Article Type: Review Article | First Published: February 16, 2019
Vascular Dementia (VD) is the most frequent type of dementia after dementia of the Alzheimer's type (DAT). Its prevalence increases exponentially with age and its risk doubles every 5.3 years. Nevertheless, up to 32% of DAT cases have coexisting cerebrovascular lesions. Cognitive deficits appear very early in patients with cerebrovascular risk. In more than 1000 patients with arterial hypertension recently studied in Argentina, global cognitive impairment was 22.1%. Executive function and semant...
Open Access DOI:10.23937/2377-4630/1410084
Acute illness, Co-morbidity and Mortality in a Norwegian Intensive Care Population
K Tollisen, M Bjerva, GT Dahl, NK Meidell, L Sandvik, F Heyerdahl and D Jacobsen
Article Type: Original Article | First Published: February 16, 2019
Intensive care units (ICU) provide advanced health care for seriously injured and ill patients, demanding vast economic resources. The population is aging and the need for intensive care beds is expected to increase considerably over the next decades. This will have serious implications for planning and financing of the health care system. Descriptive studies of intensive care patients are needed to ensure that the health services can meet future needs. Evaluation of ICU services are challenging...