Open Access DOI:10.23937/rmi-2017/1710001

Inadvertent Use of Depot GnRH-agonist Trigger and its Effect on the Luteal Phase: A Case Report

Shahar Kol and Ofer Fainaru

Article Type: Case Report | First Published: May 30, 2018

The use of short acting GnRH agonist to trigger final oocyte maturation in IVF is a common practice. Its primary advantage is prevention of significant ovarian hyperstimulation syndrome. The effect of a long acting GnRH agonist preparation in that setting is not known. In the current case report, a depot preparation was given accidentally, resulting in prolonged and robust luteal phase activity, with luteolysis achieved only 14 days after administration....

 Open Access DOI:10.23937/2572-4193.1510041

Management of Curved Foreign Bodies in Otorhinolaryngology Practice

Ozan Gokdogan, Hacer Baran, TolgahanCatli and Recep Karamert

Article Type: Case Report | First Published: May 30, 2018

Penetrating injuries usually affects non-dressed parts of body. Most of them treated by patient itself without any intervention. But some of them must be examined and treated by a specialist such as major injuries, minor injuries affecting the important structures and curved foreign bodies. Curved injuries can be made by a curved wire or fishhooks. Fishhooks take an important part of this injuries because of mechanism used in distal part of fishhooks....

 Open Access DOI:10.23937/2469-584X/1510059

Inadequate Antiviral Use in Pregnant Women with Chronic Hepatitis B at High Risk for Vertical Transmission

Woodard C DO, Gelsomino T, Latronica A, Hooks ML, Aboelsoud M and Wu DY

Article Type: Research Article | First Published: May 30, 2018

Chronic hepatitis B affects approximately 1.25 million persons in the United States, leading to significant morbidity and mortality from liver cirrhosis and hepatocellular carcinoma. The risk of perinatal transmission of hepatitis B to infants born to HBsAg-positive mothers has been reported to be as high as 90 percent without the use of active and passive immunization....

 Open Access DOI:10.23937/2469-570X/1410052

Allogeneic Hematopoietic Stem Cell Transplant (Hsct) in Mantle Cell Lymphoma: 4 Years of Complete Remission

David Cavalcanti Ferreira, Marcio Ribeiro de Andrade Filho, Fabio Rodrigues Kerbauy and Jose Salvador Rodrigues de Oliveira

Article Type: Case Report | First Published: May 30, 2018

According to the World Health Organization, the mantle cell lymphoma is a lymphoma subtype characterized by the translocation t (11;14) resulting in overexpression of the protein cyclin D1+. The clinical presentation typically includes extranodal, particularly bone marrow and gastrointestinal tract. Of all B cell lymphomas, it has the worst prognosis and survival, around 3 to 5 years....

 Open Access DOI:10.23937/2469-5807/1510068

Improvement in the Selection of Patients for Anti-PD1 Immunotherapy in Non-Small Cell Lung Cancer (NSCLC) Analyzing Tumor Mutational Burden and Retrotransposon Activity as Possible New Biomarker of Effectiveness

Manuel Cobo-Dols

Article Type: Short Review | First Published: May 30, 2018

Cancer is one of the leading causes of death. Most patients are diagnosed during the late stages of the disease in several tumors. Unfortunately, current treatment options are limited. Habitually, patients receive first- or second-line chemotherapy and a few patients (5-7%) are candidates for treatment with target agents, that eventually go on to develop resistance to these agents....

 Open Access DOI:10.23937/2572-4193.1510040

Recurrent Respiratory Papillomatosis: Review and Treatment Update

Alfonso Reyes Escobedo, Karla M Santos Santillana and Jose Luis Trevino Gonzalez

Article Type: Review Article | First Published: May 28, 2018

Recurrent respiratory papillomatosis (RRP) is a benign tumor of the respiratory tract caused by the human papillomavirus (HPV). It is considered as a manageable rather than a curable disease because of its high recurrence rates and its unpredictable clinical course. The unique molecular characteristics of the virus, induces cellular proliferation causing airway obstruction....

 Open Access DOI:10.23937/2378-3397/1410075

Schistosomiasis with Recto-Vaginal Fistula Mimicking Crohn's Disease in an Immunocompromised Patient and the Surgical Management

Aaron Klinger, Michitaka Kawata and Brian Kann

Article Type: Case Report | First Published: May 28, 2018

Schistosomiasis is a parasitic illness caused by blood flukes known as schistosomes. Infection is caused by freshwater exposure in endemic areas (Africa, Middle East, South America, Caribbean, East Asia). Little damage is caused by the flukes themselves, but rather by the eggs which lead to a TH-2 mediated immune response leading to granuloma formation and scarring....

 Open Access DOI:10.23937/2378-3397/1410074

The Management of Pediatric Heart Failure: Current State and Future Managements

Cevdet Furat, Omer Faruk DOGAN

Article Type: Short Communication | First Published: May 28, 2018

As we know that heart failure is a complex pathology that may be seen in children with congenital heart disease include development of cardiomyopathies due to myocarditis. In general, this severe clinical condition is associated with a high rate of morbidity and mortality and places a significant burden on families. Current medical and/or surgical treatment modalities are taken largely from the management of heart failure in adults, though clear survival benefit of these medications are lacking....

 Open Access DOI:10.23937/2469-5823/1510094

The Effectiveness and Related Factors of Taiwan's Long-Term Care Professional Manpower Training (Level I Common Curriculum)

Meei-Shiow Lu, Ching-Min Chen Chung-I Huang, Li-Chu Wu and Yao-Hua Wang

Article Type: Original Article | First Published: May 28, 2018

In view of the increase in demand for long term care professionals, the Department of Health in Taiwan has launched a training program for long term care professionals in 2010 and has entrusted the National Union of Nurses Association in Taiwan to carry out the Level I 18-hour long term care professionals training scheme. Training lessons commenced from May till July in 2011 and the teaching materials are certified by professionals and Delphi technique....

 Open Access DOI:10.23937/2378-3656/1410216

An Important Differential Diagnosis with Elevated D-Dimer: Acute Pulmonary Embolism or Aortic Dissection

Ekrem Sahan and Suzan Sahan

Article Type: Case Report | First Published: May 28, 2018

Acute pulmonary embolism (APE) or acute aortic dissection is one of the most serious clinical presentations at emergency department. Chest pain and elevated serum D-dimer level can be found in both APE and AAD. Echocardiography can be used as first line imaging modality for differential diagnosis. Computed tomography angiography is the main diagnostic test for APE and AAD. We aimed to emphasize differential diagnosis of chest pain with this case report....