Open Access DOI:10.23937/2474-1353/1510084
Vulvar Pruritus: Variability of Clinical Evaluation and Management
Sarah L Bedell, Ashli A Lawson, William F Griffith and Claudia L Werner
Article Type: Original Article | First Published: November 30, 2018
We characterize the evaluation and initial management of patients with vulvar pruritus, including elements of history-taking, physical examination, laboratory testing, and treatments. We propose an algorithm for approaching this common clinical problem in a systematic way. A retrospective chart review of patients with vulvar pruritus who presented to Gynecology or Vulvology Clinic at Parkland Health and Hospital System in 2012 informed this descriptive study....
Open Access DOI:10.23937/2469-5823/1510115
Continuity of Care Model for Older Adults
Carmen M Sarabia Cobo
Article Type: Editorial | First Published: January 04, 2019
In 2000, the world population of people over 60 was 600 million and the projection for 2050 is 2,000 million. This means the consequent increase in chronic, degenerative, debilitating and, therefore, the increase in consultations and hospitalizations for this population. It is important that the elderly dependent suffer numerous hospital admissions that may lead to return to his home in different conditions that he entered. It is therefore necessary to emphasize something important for nurses: t...
Open Access DOI:10.23937/2469-5823/1510114
Difficulties in Clinical Nursing Education: Views of Nurse Instructors'
Gulten Sucu Dag, Hulya Firat Kilic and Refia Selma Gorgulu
Article Type: Research Article | First Published: January 03, 2019
The study was conducted to determine the difficulties that nurse instructors' experiences in clinical education. This is a descriptive study. The sample of this study was comprised of 199 nurse academicians. A socio-demographic data collection form and a survey on the difficulties that nurse instructors' experiences in clinical education form was developed by researchers to be used for data collection in an electronic environment. It was determined that the difficulties of nurse instructors' exp...
Open Access DOI:10.23937/2469-5823/1510113
Health Coaching and Motivational Interventions for Diabetes and Hypertension Care
Thomas TH Wan, Waleed Kattan and Amanda Terry
Article Type: Review Article | First Published: December 19, 2018
A systematic review on diabetes care was centered in their modifying effects of coaching and motivational interventions on diabetes and hypertension care. Critical issues pertaining to the dose-response relationship between the intervention program and outcomes, the cost-effectiveness evaluation, and the lengths of observation were noted. A positive impact of health coaching (HC) and motivational intervension (MI) was noted in this review of randomized controlled studies. However, successful res...
Open Access DOI:10.23937/IJND-2017/1710006
A Clinicopathologic Case Report of a Female with Valosin-Containing Protein (VCP) Gene Mutation Related Disease
Abhilasha Surampalli, Angele Nalbandian, Sandra Donkervoort, Manaswitha Khare, Annabel Wang, Rudolph Castellani, Hong Yin, Ana Rubio, Payal Patel, John Weiss, Tahseen Mozaffar and Virginia E Kimonis
Article Type: Case Report | First Published: December 19, 2018
Valosin Containing Protein (VCP) gene mutations have been reported in ~1-2% of familial amyotrophic lateral sclerosis (ALS). We report a case of clinically defined and neuropathologically confirmed ALS in a 48-year-old, emaciated female with a p.R155C (c.463 C > T) mutation in VCP gene. She presented with progressive generalized muscular weakness, weight loss, dyspnea on exertion, combined nasal and spastic dysarthria, positive jaw jerk and exaggerated gag reflex. Electrodiagnostic studies revea...
Open Access DOI:10.23937/2474-3658/1510063
Evaluation of Cases with Gemella Infection: Cross-Sectional Study
Selcuk Nazik, Esma Cingoz, Ahmet Riza Sahin and Selma Ates
Article Type: Original Article | First Published: December 19, 2018
Gemella is a Gram-positive, catalase-negative, facultatively anaerobic coccus bacterium. It is a member of the normal flora and rarely causes infection. This study aims at evaluating, accompanied by the literature, Gemella-associated infections that are also present in the normal flora. This study is a cross-sectional study. Gemella infections recorded in 2014-2018 in University Hospital, Turkey. Gemella is a Gram-positive, catalase-negative, facultatively anaerobic coccus bacterium. It is parti...
Open Access DOI:10.23937/2469-5777/1510067
Ocular Bungee Cord Injury: Case-Report and Literature Review
Jessica Ruel-Laliberte, Louis Morin, Alice Turcot and Patricia Ann Laughrea
Article Type: Case Report | First Published: December 15, 2018
A 27-year-old female patient sustained a left eye injury while manipulating a hook end bungee-type elastic cord. She suffered from severe anterior and posterior segments ocular trauma that required two surgeries and left her with permanent sequelae. The aim of this paper is to present a literature review on ocular trauma associated with bungee cords. On December 7th 2012, a 27-year-old female patient was injured in the left eye in the context of her work. While she was transporting a trolley on ...
Open Access DOI:10.23937/ncr-2017/1710008
Multimodal MRI of Extracranial Glioblastoma Dissemination
Alice Venier, Luca Roccatagliata, Alessandro Cianfoni and Emanuele Pravata
Article Type: Case Report | First Published: December 15, 2018
Glioblastoma scalp dissemination is uncommon. Infiltration may occur through the craniotomy, suggesting diffusion from the surgical site as the most likely mechanism. At Magnetic Resonance Imaging (MRI), features of the metastatic tissue resemble those of the primary tumor. We show multimodal MRI appearance of a glioblastoma disseminating to the scalp. The patient presented with a stiff, non-tender palpable mass within the extracranial soft tissues, five months after surgery. Distinctive finding...