Open Access DOI:10.23937/2378-3656/1410217

Prover Induced Cerebral Sinus Thrombosis in a SLE Patient

Shafira Mohamad Sha

Article Type: Case Report | First Published: May 31, 2018

Cerebral vein and sinuses thrombosis (CVST) is a rare condition and accounts of 0.5-1% of all stroke. It is more common in women compared to men. Usage of oral contraceptive pill (OCP) has been recognised to increase the risk of developing CVST. We report a case of 46 Chinese lady with underlying systemic lupus erythematous (SLE) who presented with a second episode of sudden onset severe headache which secondary to CVST within 5 years....

 Open Access DOI:10.23937/iacvd-2017/1710005

Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries

Carolina Espejo-Paeres, Carmen Olmos, Pedro Martinez-Losas, Fabian Islas, Javier Higueras-Nafria, David Vivas and Isidre Vilacosta

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

An anomalous origin of a coronary artery is a rare congenital condition in which a coronary artery arises from the opposite coronary sinus. Most coronary artery anomalies are an incidental finding without clinical significance, although some cases may be potentially life threatening, depending on the origin, course and termination of the anomalous vessel. Anatomical features of risk are an aortic intramural course or inter-arterial course....

 Open Access DOI:10.23937/2377-4630/1410066

Transient Unilateral Lower Limb Palsy after Open Surgery Thoraco-Abdominal Aorta Repair

Francesco Corazzi, Stefania Brusa, Enrico Giustiniano, Efrem Civilini, Giorgio Luca Poletto and Ferdinando Raimondi

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

Anamnesis included cholecystectomy, hypertension and coronary artery by-pass graft (CABG) due to acute myocardial infarction (AMI), dislipidemia, G6PD deficit, allergy to milk proteins, liver steatosis and severe chronic obstructive pulmonary disease (COPD) with FEV1/FVC ratio 0.43 and FEV1 1.12 L (44%)....

 Open Access DOI:10.23937/2378-3419/1410092

Quantification of Dosimetric Effects of Dental Metallic Implant on Volumetric-Modulated Arc Therapy Plans

Chun-I Lin, Yuanming Feng, Wenhuan Jiang and Zhibin Huang

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

CT images with the presence of metallic implants may cause severe metal artifacts with incorrect CT numbers, which lead to inaccurate dose calculation in RT planning. The goal of this study was to evaluate the dosimetric impact of metallic implants that correlates with the size of targets and metallic implants and the distance between the two on volumetric-modulated arc therapy (VMAT) plans for head and neck (H&N) cancer patients with dental implants....

 Open Access DOI:10.23937/2469-5769/1510032

Serum 25(OH) Vitamin D Levels of Adolescent and Young Medical Students

Asli Derya Kardelen, Ismail Yildiz, Beyhan Omer and Fatma Oguz

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

Vitamin D has an important role in many parts of the body, it maintains serum calcium (Ca) and phosphorus (P) homeostasis and is necessary for the health of bones and muscles. It also has positive effects on the immune system. It has a protective effect against hypertension, cardiac disease, various cancers, type 1 diabetes, autoimmune and allergic diseases....

 Open Access DOI:10.23937/2469-5750/1510053

Rash in an Extremely Low Birth Weight Infant

Stephen M Akers, Greg A Barretto, Panitan Yossuck, Autumn S Kiefer, Michelle L Mitchell and Kathryn S Moffett

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

Primary cutaneous aspergillosis (PCA) is one of several invasive fungal infections that have increased in incidence in the last four decades. We present a case of an extremely low birth weight infant born at 24 weeks gestation diagnosed with cutaneous aspergillosis, highlighting the risk factors and clinical findings associated with neonatal PCA. Additionally, we discuss use of serum galactomannan testing as well as combination amphotericin B and voriconazole therapy....

 Open Access DOI:10.23937/2378-3648/1410033

A Review of NEMO Protein and its Relationship with Genetic Diseases

Mohammad Reza Zinatizadeh, Zahra Masoumalinejad, Azim Nejatizadeh, Mohammad Shekari, Farzaneh Parnak and Faeghe Zaree

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

NF-κB essential modulator (NEMO) syndrome is an immunodeficiency disease. NF-κB proteins, which regulate the expression of genes that moderate important physiological processes, are called regulatory of cell homeostasis. NEMO is a protein in the IKK inhibitor complex that many organ systems normally do not grow. Cells (as well as organ and tissues) do not grow proteins they express proteins....

 Open Access DOI:10.23937/2377-9004/1410125

An Atypical Presentation of Extraovarian Endometrioma

Alexander Berger, Nora Ward Graham, Crystal Berry-Roberts and William Schlaff

Article Type: case Presentation | First Published: May 30, 2018

Patients with endometriomas typically present with an intraovarian mass, often associated with multiple foci of extraovarian lesions. An isolated extraovarian endometrioma is rare and represents a challenging diagnostic dilemma....

 Open Access DOI:10.23937/2377-9004/1410124

Early Pregnancy Loss: A Management Guide

Paul R Brezina

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

One of the most difficult aspects of reproductive medicine is the management of recurrent pregnancy loss. Recurrent pregnancy loss is one of the most emotionally devastating challenges facing couples who want to grow their family. For many couples, risk factors that increase the chances of experiencing a loss can be identified and treated. For other couples, however, a definitive cause is never identified....

 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....