Open Access DOI:10.23937/2469-5858/1510055
Screening Colonoscopy Adverse Events in Aging Adults: Does Frailty Matter?
Toosizadeh N, Ehsani H, Taleban S, Golden T, Tirambulo C and Mohler J
Article Type: Research Article | First Published: November 01, 2018
Socio-demographic data, the Charlson Comorbidity Index (CCI), and UEF clinical frailty syndrome classification (non-frail versus pre-frail/frail) were assessed prior to colonoscopy, and acute colonoscopy outcomes were stratified into three severity categories. Logistic regression and ANOVA/ANCOVA were employed. 41% of non-frail had one or more complications, versus 70% of pre-frail/frail group. Those in the pre-frail/frail group had nearly three times the number of acute colonoscopy complication...
Open Access DOI:10.23937/2377-4630/1410077
Iatrogenic Nerve Injury Resulting in Respiratory Failure after Mediastinoscopy
Dustin Hang, Herodotos Ellinas and Sylvia Y Dolinski
Article Type: Case Report | First Published: November 01, 2018
Acute respiratory failure is divided into four categories: hypoxemic (type I), hypercarbic (type II), perioperative (type III) and shock (type IV). We present a case of perioperative respiratory failure in a patient with iatrogenic phrenic nerve injury after mediastinoscopy and the implications for a high index of suspicion as well as appropriate diagnostics. Of the four types of respiratory failure, perioperative (Type III) respiratory failure is often due to hypoxemia or hypercarbia (i.e. Type...
Open Access DOI:10.23937/2378-3656/1410239
Paucisymptomatic Migrated Intrauterine Contraceptive Device to the Sigmoid Colon: A Case Report
Abdelwahed Yahmadi, Hakim Zenaidi, Najeh Hsayaoui, Saber Rebii, Choaouki Mbarki, Hajer Bettaieb, Hedhili Oueslati and Ayoub Zoghlami
Article Type: Case Report | First Published: October 31, 2018
Migration of intrauterine contraceptive device (IUCD) to adjacent organs is rare but the most serious complication. Withdrawal of any migrated IUCD is advisable even if asymptomatic and Laparoscopic removal remain the gold standard, however sometimes finding the device intra-operatively is challenging for the surgeon. We report a case of laparoscopic removal of migrated IUCD to the sigmoid colon. Computed tomography (CT) precisely located the migrated device embedded in the sigmoid colon. After ...
Open Access DOI:10.23937/2377-4630/1410076
Quality of Life and Anxiety Status following Donor Liver Transplantation
Ayten Saracoglu, Fisun Bulutcu, Levent Oklu, Ercument Yentur, Yaman Tokat and Yildiray Yuzer
Article Type: Original Article | First Published: October 31, 2018
Anxiety disorder, which is encountered in surgical patients receiving general anesthesia is a psychological and physical condition, characterized by sudden onset of hazard perception and extensive fear, and may lead to panic disorder. In this study, we aimed to determine anxiety levels of liver transplantation donors via a questionnaire and reveal their quality of life and anxiety status during the 1st postoperative day and month....
Open Access DOI:10.23937/2474-3682/1510118
Electric Stimulation of Human Nasal Conchae towards Reproduction of Olfactory Sensations
Kasun Karunanayaka, Sharon Kalu Ufere, Hanis Camelia and Adrian David Cheok
Article Type: Image Article | First Published: October 31, 2018
The human nose is a complicated and smart part of the chemosensory system. Humans have multifaceted olfactory bulbs and orbitofrontal cortices, which provide them with more sensitive and dynamic abilities for the sense of smell, and as such humans could detect at least 1 trillion different smells. In the olfactory epithelium, odour molecules bind to olfactory receptors which are expressed in olfactory sensory neurons in the nose. Once an odorant binds to the receptor, the olfactory receptors tri...
Open Access DOI:10.23937/2469-5742/1510048
Adrenocortical Carcinoma in a Young Patient: Report of a Rare Case and Review of the Literature at King Abdulaziz University Hospital
Sultan Almuallem, Shahad Abualhamael, Hala Mosli, Hisham Mosli and Murad Aljiffry
Article Type: Case Report | First Published: October 31, 2018
Adrenocortical tumors are rare neoplasms with poor prognosis and with an incidence of one in one million population. They are categorized as either functional (hormone-secreting) or silent and as either benign or malignant. We are reporting a very rare case of huge (16 cm) adrenocortical carcinoma in a 19-years-old male patient who presented with a progressively increasing right abdominal mass and uncontrolled systemic blood pressure for 2 years. Clinical exam was unremarkable for syndromic feat...
Open Access DOI:10.23937/2469-5734/1510066
Microbiological Evaluation of Biofilm Formation on the Fixed Twin Block Appliance: A Clinical Trial
Vanashree Vilas Takane, Roopa Jatti, Kishore Bhat, Divya Keshan, Kanhoba Keluskar and Amit Jaisinghani
Article Type: Research Article | First Published: October 31, 2018
Fixed twin block-a fixed functional appliance, used in orthodontic therapy serves as a surface for microbial colonisation. The microorganisms organised as biofilms are protected from harmful environmental factors and an increased risk of disease may be its direct consequence. The employment of fixed acrylic based Twin Block appliance can represent a factor promoting the colonisation of the oral cavity by various micro-organisms and stresses the need of a careful monitoring of orthodontic patient...
Open Access DOI:10.23937/2572-4037.1510034
Kambo: A Shamanistic Ritual Arriving in the West - Description, Risks and Perception by the Users
Jan M Keppel Hesselink
Article Type: Research Article | First Published: October 31, 2018
The impact of priests and their institutions is vanishing in our culture. This depletes the society from religious experiences. However, many are looking into new ways of experiencing the essence of life. One of the new sources inspiring people to reconnect with themselves and with nature can be found in shamanism. Since some decades now rituals from the Amazon based on herbal products such as Ayahuascaare increasingly seen in Europe and the United States....
Open Access DOI:10.23937/2469-5769/1510042
Birthweight and Gestational Age: Early Life Management Strategy to Population Health for Non-Communicable Diseases
Issa Al Salmi and Suad Hannawi
Article Type: Research Article | First Published: October 31, 2018
Non-communicable diseases (NCD) are rising throughout the globe over the last few decades. Developing countries bear the worse burden of these NCD. Similarly, low birthweight is increasing around the world where most of this prevalence commonly seen in the developing countries but as well in the well-developed countries where advancement of health care managed to increase the survival of the very low birthweight babies. In recent years, there has been great interest in the early development of t...
Open Access DOI:10.23937/ncr-2017/1710003
What Should Guide Decision-Making Process in Urgency? A Curious Case of Right Acute Hemiparesis
Francesco Restelli, Gianluca Agresta, Tommaso Alfiero, Alessandro Dario and Davide Locatelli
Article Type: Case Report | First Published: October 31, 2018
As physicians and neurosurgeons, our daily practice in Emergency Departments sometimes calls us to manage patients and to take decisions in sub-optimal conditions, maybe with partial anamnesis, incomplete neurological examinations or with lacks in routine radiological and laboratory exams. Such eventuality, although it may sometimes lead to misdiagnose and to confound some pathological conditions, fortunately is not always linked to bad repercussions for patients. This is especially true when de...