Open Access DOI:10.23937/ijtd-2017/1710002

Uncomplicated Malaria in Children under 6 Months or Less than 5 Kg; How Prescribers in Ghana Manage it in the Absence of a National Policy

Evans Paul Kwame Ameade, Cynthia Gbolo Tee, Henrietta Chefudeme Dakurah and Hamdaratu Mateko Opata

Article Type: Research Article | First Published: July 20, 2018

Malaria caused by various species of Plasmodium had brought untold socio-economic burden to poor and developing countries of the world. Most malaria associated deaths occur in children below 5 years. The suggestion that antibodies and toxic nature of fetal hemoglobin provide immunity against malaria in children less than 6 months had been disproven. With Ghana having no treatment guideline on the management of uncomplicated malaria in this age group, this study ascertained how Ghanaian prescribe...

 Open Access DOI:10.23937/2572-4037.1510030

Explaining the Minority Status Hypothesis: Development of the Cultural Resilience Life Stress Paradigm

Paul Archibald

Article Type: Review Article | First Published: July 19, 2018

This paper reviews recent empirical studies (N = 13) that focused on two cultural resources (spirituality and racial identity) utilized by African-Americans to cope with stress in an attempt to: 1) Provide some explanations why the minority status hypothesis is unfounded in most epidemiologic community surveys; and 2) Develop a theoretical framework that explicates this phenomenon. The review shows that both spirituality and racial identity reduced the negative impact of life stressors while pro...

 Open Access DOI:10.23937/2469-584X/1510062

Knowledge and Attitudes of Internal Medicine Trainees' Co-Prescribing Patterns of Gastroprotective Agents in Patients Taking Long-Term Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Nikki Duong, Alice Lee and James H Lewis

Article Type: Research Article | First Published: July 13, 2018

The side effect profile of NSAIDs is well-established. For prevention of NSAID-related ulcers, the evidence suggests that misoprostol and PPIs (proton pump inhibitors) are superior to H2RAs (histamine-2-receptor-antagonists). Current guidelines recommend use of the lowest possible NSAID dose, as well as consideration of the patients' gastrointestinal and cardiovascular risk profile....

 Open Access DOI:10.23937/2474-3682/1510098

Huge Aneurysmal Bone Cyst of the Sacrum: A Case Report and Review of the Literature

Hasan Erdogan, Mehmet Sedat Durmaz, Serdar Arslan, Fatih Oncu, Fatma Zeynep Arslan and Ismet Tolu

Article Type: Image Article | First Published: July 27, 2018

A 20-year-old man presented with a 2-year history of severe pain in his sacral region. He described an intermittent pain of moderate to severe intensity, localized in the left flank region, increasing at night. Pain is partially relieved by rest, supine position and is lately associated with a limp. Magnetic Resonance Imaging (MRI) revealed an expansive destructive cystic lesion at the S1, S2 and S3 vertebral levels, lesion's close association with S1 and S2 sacral nerve roots, and extending pos...

 Open Access DOI:10.23937/2474-3682/1510097

A Rare Case Report: Cystic Spinal Meningioma

Serdar Arslan, Hasan Erdogan, Fatma Zeynep Arslan, Mehmet Sedat Durmaz, Fatih Oncu and Ismet Tolu

Article Type: Image Article | First Published: July 26, 2018

A 41-year-old woman was admitted to our department presented with a 1-year history of persistent weakness and progressive numbness in the left lower limb. MRI revealed that there was a well-circumscribed intraspinal extradural lesion at L1 and L2 vertebral levels (Figure 1). The lesion was isointense on T1- and T2-weighted images and it was shown strongly enhancing except a small nodular cystic component in superior part of the lesion (Figure 2). The patient was operated and histopathological st...

 Open Access DOI:10.23937/2474-3682/1510096

Mild Encephalopathy with a Reversible Splenial Lesion Mimicking Transient İschemic Attack

Serdar Arslan, Hasan Erdogan, Fatma Zeynep Arslan, Mehmet Sedat Durmaz, Nahide Baran and Ismet Tolu

Article Type: Image Article | First Published: July 25, 2018

A 21-year-old man was admitted to emergency department due to slurred speech, weakness and loss of consciousness. The previous history is unremarkable except a slight cold 2 weeks ago. The first magnetic resonance imaging (MRI) revealed a distinct lesion involving in the splenium of the corpus callosum. This lesion showed restricted diffusion with hyperintense signal on diffusion-weighted imaging (DWI) and hypointense signal on apparent diffusion coefficient (ADC) sequence....

 Open Access DOI:10.23937/2378-3656/1410223

Giant Aneurysm of Ascending Aorta Caused by Chronic Stanford Type A Aortic Dissection with Bicuspid Aortic Valve

Umit Arslan, Eyupserhat Calik and Bilgehan Erkut

Article Type: Case Report | First Published: July 21, 2018

An 82-year-old male patient was admitted to our clinic because of shortness of breath and chest pain. A grade 4/6 diastolic murmur was heard on auscultation. Physical examination revealed signs of congestive heart failure and poor peripheral perfusion. There was a diagnosis of acute Stanford Type A ascending aortic dissection in the history of the patient. The patient had refused emergency surgical intervention three years ago. Computed tomography revealed chronic Stanford Type A dissection and ...

 Open Access DOI:10.23937/iaoms-2017/1710006

Lung Adenocarcinoma Metastasis in Mandibular Condyle - Case Report and Literature Review

Mauricio Barreda Hale, Daniel Pino, Emilio Moreno, Tomas Donoso and Claudio Huentequeo

Article Type: Case Report and Literature Review | First Published: July 21, 2018

Metastases in oral cavity possesses a low frequency. They represent approximately 1% of malignant process in mouth, being the mandible the most prevalent and in an even smaller number it affects the temporomandibular joint. We present a 72-year-old male gender patient, who asks for temporomandibular pain initially interpreted as a temporomandibular disorder; after radiographic control an osteolytic lesion is identified in the right mandibular condyle for which is derived to the Maxillofacial Sur...

 Open Access DOI:10.23937/ijfa-2017/1710010

A Minimally Invasive Modified Procedure for Ankle Chronic Instability Repair: A Case Series Report

Jose Cymet-Ramirez and Julio Cesar Vazquez-Mondragon

Article Type: Case Series | First Published: July 21, 2018

A number of surgical procedures for treating chronic ankle instability have been described. Most of them are only to repair the anterior talofibular ligament (ATL) without considering the calcaneofibular ligament (CFT) injury and both chondral injuries of talus and tibia. We aim to describe a modified procedure as an alternative to already described surgical techniques that offer some advantages that we have observed....

 Open Access DOI:10.23937/ijfa-2017/1710009

Playing Basketball on Wooden and Asphalt Courts-Does Court Surface Affect Foot Loading?

PW Kong, DZ Nin, RKK Quek and YK Chua

Article Type: Original Article | First Published: July 20, 2018

This study aimed to examine the influence of court surface on foot loading when executing typical basketball tasks. Thirteen male basketball players performed three basketball-related tasks: Layup, jump shot, and maximal effort sprint on wooden and asphalt courts. In-shoe plantar loading was recorded during the basketball movements and peak force (normalised to body weight) was extracted from eight-foot regions. Perceptions of discomfort at the ankle, knee, and back were surveyed using a 10-cm v...