Open Access DOI:10.23937/2378-3397/1410086
An Alternative Mesofemoral Shunt for Uncontrolled Variceal Bleeding
Yi-Ju Wu, Chih-Che Lin, Yu-Hung Lin, Chao-Long Chen, Wayne Huang and Yu-Feng Kao
Article Type: ORIGINAL ARTICLE | First Published: September 07, 2018
Portal hypertension can lead to life-threatening variceal bleeding (VB). Transjugular intrahepatic portosystemic shunt (TIPSS) is the standard choice for uncontrolled VB. Unavailable for TIPSS, we design a mesofemoral shunt (MFS) as an alternative method for control of VB. From March 2011 to November 2014, eleven patients with VB due to liver cirrhosis were enrolled. The MFS was created by connecting from superior mesenteric vein below transverse colon, via subcutaneous tunnel, to right femoral ...
Open Access DOI:10.23937/2378-3397/1410085
Giant Brunner's Gland Adenoma - An Unusual Cause of Gastrointestinal Haemorrhage
F Mahmood, Adil Ahmed, Chung Shen, Sinead Cabezon, and Vittal Rao
Article Type: CASE REPORT | First Published: September 07, 2018
Brunner's gland adenoma is a rare benign tumour of the duodenum. Less than 200 cases have been reported in the literature. Usually asymptomatic, these lesions rarely manifest as upper gastrointestinal haemorrhage or duodenal obstruction. We report a 40-year-old gentleman who presented with melaena and iron deficiency anaemia. Duodenoscopy revealed a large pedunculated tumour in the duodenal bulb. Due to the huge size, the patient underwent surgical polypectomy through laparotomy and duodenotomy....
Open Access DOI:10.23937/IJTD-2017/1710006
Extrapulmonary Tuberculosis: Update on the Epidemiology, Risk Factors and Prevention Strategies
Houda Ben Ayed, Makram Koubaa, Chakib Marrakchi, Khaoula Rekik, Fatma Hammami, Fatma Smaoui, Mariem Ben Hmida, Sourour Yaich, Imed Maaloul, Jamel Damak and Mounir Ben Jemaa
Article Type: REVIEW ARTICLE | First Published: September 03, 2018
Tuberculosis (TB) is one of the major public health threats, competing with the human immunodeficiency virus (HIV) as the cause of death due to infectious diseases worldwide. Extrapulmonary tuberculosis (EPTB) contributes to the burden of disease and does not receive specific attention in international control strategies. We aimed to give an update on the current epidemiological data of EPTB, to describe its clinical spectrum, to identify the main risk factors and to propose effective preventive...
Open Access DOI:10.23937/2469-5734/1510059
Orthodontic with Miniplates in the Correction of an Adult Case with Class II Malocclusion and Anterior Open Bite
Ali S Aljhani, Maryam Alhindi and Khalid H Zawawi
Article Type: CASE REPORT | First Published: September 03, 2018
This case report illustrates an orthodontic treatment of a 23-year-old female patient presented with an Angle Class II malocclusion, open bite, bimaxillary dental protrusion and incompetent lips with the aid of titanium miniplates. After extraction of her maxillary first bicuspids and mandibular second bicuspids, fixed pre-adjusted bi-dimensional Edgewise appliances were placed. After alignment, titanium miniplates were surgically placed into the zygomatic buttresses bilaterally. Anterior retrac...
Open Access DOI:10.23937/2469-5726/1510065
Monitoring the Time Course of Disability through a Self-Assessment Instrument
L Ren, X Zhang, ZG Li, H Tang and R Theiler
Article Type: ORIGINAL RESEARCH | First Published: September 01, 2018
Rheumatoid arthritis (RA) is a heterogeneous autoimmune disease whose etiopathogenesis is largely unknown. Available treatments, though effective, are insufficient in so far as there is no cure for a major proportion of patients. In those patients the disease becomes chronic with progressive joint damage, disability, and limitation of participation. Current treatment approaches include pain-relieving drugs and anti-inflammatory medications that slow joint damage, combined with physical therapies...
Open Access DOI:10.23937/2469-5777/1510063
Isolated Traumatic Close Dislocation of Tarsal Navicular Bone after a Complex Forced Movement of the Foot: A Case Report
Guifo Marc Leroy, Danwang Celestin, Ngo Yamben Marie Ange, Tekpa Bertrand Jean De Dieu, Dubois-Ferriere Victor and Ibrahima Farikou
Article Type: CASE REPORT | First Published: August 30, 2018
Tarsal navicular bone dislocation is a rare condition which can lead to long term disability, mainly due to difficulties to obtain an anatomical reduction. Only few cases have been reported. We report a case of a 21-year-old Cameroonian male who was admitted to the emergency department after a road traffic accident. The physical examination reveals a patient unable to bear weight, with a painful swelling of the antero-medial dorsal region of the right foot, without neurovascular deficits or anot...
Open Access DOI:10.23937/iacvd-2017/1710009
Implantation of Pacemaker in a Patient with Dextrocardia, Persistent Left Superior Vena Cava, TGA and Heart Block
Murat KERKUTLUOGLU and Mahmut Tuna KATIRCIBASI
Article Type: CASE REPORT | First Published: August 29, 2018
Congenital anomalies of the heart may generate difficulties for cardiac invasive procedures. Dextrocardia is a rare congenital heart disease in which the apex of the heart is located on the right side of the chest. Patients with transposition of great arteries (TGA) abnormalities are at risk for complete cardiac block and usually require a permanent cardiac pacemaker in long-term follow-up. The persistent left superior vena cava (PLSCV) is a rare venous anomaly, often associated with abnormaliti...
Open Access DOI:10.23937/2377-3634/1410092
The Ketogenic Diet and its Clinical Applications in Type I and II Diabetes
Raffaele Pilla
Article Type: Review Article | First Published: September 06, 2018
It has been shown that metabolic-based therapies, such as nutritional ketosis, are effective to contrast seizure disorders and various acute and chronic neurological disorders. From a physiological perspective, glucose is the primary metabolic fuel for cells. However, many neurodegenerative disorders have been recently associated with impaired glucose transport and metabolism and with mitochondrial dysfunction causing energy deficits, such as in Alzheimer's disease, Parkinson's disease, general ...
Open Access DOI:10.23937/2377-3634/1410091
Histopathological Alteration in STZ-Nicotinamide Diabetic Rats, a Complication of Diabetes or a Toxicity of STZ?
Nahid MH Elamin, IMT Fadlalla, Shadia A Omer and Hala AM Ibrahim
Article Type: Original Article | First Published: September 06, 2018
Type 2 diabetes mellitus (T2DM) previously known as non-insulin dependent diabetes mellitus is the most common type of diabetes mellitus. The rapid increasing prevalence, high morbidity and mortality of the disease must be encountered by an increase in scientific research. Animal models are very important in the preclinical studies to validate the use of new drugs. Streptozotocin - nicotinamide (STZ-NA) is used to induce T2DM in animals....
Open Access DOI:10.23937/2378-3656/1410233
Consecutive Successful Pregnancies after Conservative Management of Early Stage Endometrial Carcinoma
Chia-Chi Yen, Chieh-Yi Kang, Hsing-Chun Tsai, Ming-Ting Chung, Meng-Chen Tsai and Yung-Chieh Tsai
Article Type: Case Report | First Published: September 06, 2018
Endometrial cancer is one of the most frequent gynecological cancers in women. According to a recent national survey, endometrial cancer has increased rapidly in the past 30 years in Taiwan and the incidence of endometrioid adenocarcinoma has increased more and more quickly in younger age. Although total hysterectomy is usually recommended to eradicate the malignant lesion, this procedure may not be suitable for a young nulliparous woman, especially when the endometrial cancer is early stage. We...