Open Access DOI:10.23937/IJFA-2017/1710016

Suture Anchor Construct for an Exogenous Ligament Repair for Subtalar Joint Instability-A Novel Technique

Paul J Carroll and Jonathan J Sharpe

Article Type: Case Report | First Published: October 10, 2018

Subtalar joint ligament sprains are often missed in the setting of chronic inversion ankle injuries. This can lead to pain and instability of the subtalar joint. In many cases, without proper identification, the patient may eventually undergo an unnecessary subtalar joint fusion rather than a ligament reconstruction. Achilles, peroneus brevis, and gracilis tendon grafts have been described to repair subtalar ligament instability in the literature. To our knowledge, the use of exogenous ligament ...

 Open Access DOI:10.23937/IJFA-2017/1710015

Relationship between Toe Flexion Movement and Center of Pressure Position

Y Otake, A Yozu, T Fukui, M Sumitani and N Haga

Article Type: Original Article | First Published: September 29, 2018

In humans, the toes are important for stability while standing. We aim to elucidate the role of the toes in posture control by examining the relationship between the action of the flexor muscles and the center of pressure (COP) positions in the standing posture. The subjects were 16 healthy young adults who were free of musculoskeletal and neurological disorders. We measured the toe plantarflexion movements, COP positions, and floor reaction force components in the standing and forward loading ...

 Open Access DOI:10.23937/IJFA-2017/1710014

First Metatarsophalangeal Arthrodesis Malunion Revision to Silicone Implant Arthroplasty

Paul J Carroll and Jonathan J Sharpe

Article Type: Case Report | First Published: September 29, 2018

A shortened first metatarsophalangeal joint (MTPJ) fusion can be a debilitating complication of arthrodesis surgery. The most commonly accepted treatment is revision of the first MTPJ revisional arthrodesis with lengthening utilizing bone graft. To our knowledge, there is no published literature on first MTPJ short malunion correction using monorail distraction and arthroplasty with a silastic implant. A case is presented of a young active 32-year-old individual who presented to our office follo...

 Open Access DOI:10.23937/2377-3634/1410095

Zinc Supplementation Attenuated Calcium-High Diet Effect on Zinc Status and Carbohydrate Metabolism of Non-Diabetic and Diabetic Rats

Samir Derouiche and Zine Kechrid

Article Type: Original Article | First Published: October 03, 2018

The bioavailability of zinc can be influenced by several dietary factors, among them calcium level, which leads to zinc metabolism disturbance. Thus, the present study was under taken to evaluate the effect of zinc supplementation on zinc status and carbohydrate metabolism in non-diabetic and diabetic rats fed high-calcium diet. Diabetes is a group of metabolic disorders characterized by chronic hyperglycemia resulting from disorders of secretion or the action of insulin. This hyperglycemia is a...

 Open Access DOI:10.23937/2377-3634/1410094

Subcutaneous Insulin Safety Concerns

Jeanne Manzi

Article Type: Short Commentary | First Published: September 29, 2018

With the growing prevalence of type 2 diabetes in the United States, the use of insulin has increased along with the incidence of needle-stick injuries. The Institute for Safe Medication Practices (ISMP) published guidelines in 2017 on how to optimize safe subcutaneous insulin use in adults. One of the recurring themes of these guidelines is education, education, education. This is essential for self-management by patients with diabetes and also for the safety and effectiveness of the care they ...

 Open Access DOI:10.23937/2377-3634/1410093

The Effect of Vitamin D Supplementation on Blood Lipids in Minorities with Type 2 Diabetes

Joel C. Exebio, Sahar Ajabshir, Adriana Campa, Tan Li, Gustavo G. Zarini and Fatma G. Huffman

Article Type: Original Research | First Published: September 29, 2018

Vitamin D deficiency and type 2 diabetes are common among Hispanics and African Americans in the US. The aim of the study was to determine the effect of supplemental vitamin D intake (4000 IU/day or 6000 IU/day of vitamin D3 over a 6-month period) on blood lipids in a sample of African Americans and Hispanics with type 2 diabetes and vitamin D insufficiency. Participants (n = 75) were recruited by community outreach. Participants in both groups were required to take either 4000 IU or 6000 IU of ...

 Open Access DOI:10.23937/2474-3674/1510044

Severe Venlafaxine Intoxication with Refractory Pulseless Electrical Activity Cardiac Arrest Successfully Treated with Intravenous Lipid Emulsion

John Blixt, Shazia Raheem and Stephen Bujarski

Article Type: Case Report | First Published: September 22, 2018

Venlafaxine, a serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressant, has been associated with severe cardiotoxicity in massive overdoses. Treatment is usually supportive. Over the past decade, intravenous lipid emulsion has been gaining interest in the treatment of intoxications with lipophilic substances. We report a case of refractory pulseless electrical activity cardiac arrest following a massive overdose of venlafaxine successfully treated with intravenous lipid emulsion infusi...

 Open Access DOI:10.23937/2378-2951/1410122

Chronic Total Coronary Occlusions: Stress Echocardiography with Speckle Tracking Analysis Study

Ines Monte, Francesco Calvo, Giovanni Millan, Vincenzo Lavanco, Corrado Tamburino

Article Type: Original Article | First Published: September 24, 2018

Chronic total coronary occlusions (CTO) are found in approximately 15-30% of patients who undergo coronary angiography for suspected or known coronary artery disease. Speckle Tracking Echocardiography (STE) is a novel technology to assessing modifications of myocardial deformation with higher accuracy than the simple visual of regional wall motion. The study was to evaluate, using STE applied to dobutamine stress echocardiography (DSE), changes in echo parameters before and after successful reca...

 Open Access DOI:10.23937/2378-2951/1410121

A Rare Late Term Complication of Vascular Surgery: True Common Femoral Artery Aneurysm

Ali Buturak, Ulaankhuu Batgerel and Duhan Fatih Bayrak

Article Type: Case Report | First Published: September 24, 2018

Femoral artery aneurysm is a rarely seen peripheral aneurysm which may lead to thrombosis, embolism and fatal rupture in untreated cases. Although femoral artery aneurysm is usually caused by atherosclerosis or chronic inflammation, aneurysm formation in sites of anastomosis, grafts or endarterectomy territory may occur at late term. A 57-years-old man presenting with stable angina pectoris was admitted for coronary angiography with documented ischemia in exercise stress test. The patient had a ...

 Open Access DOI:10.23937/IAPHCM-2017/1710011

Health Benefits of Physical Exercise as a Lifestyle Habit in Asian Men and Women

Victor HH Goh

Article Type: Research Article | First Published: September 29, 2018

Total body composition and bone scans were analyzed using dual energy X-ray absorptiometry (DXA). Exercise intensity scores were computed using the Metabolic Equivalent of Task (MET). Handgrip strength was measured using a dynamometer. Various hormones and metabolic parameters were measured and cognition function tests and data regarding general health and sexual functions were collected....