Open Access DOI:10.23937/2378-3397/1410073

A Fatal Case of Primary Anal Melanoma in a Patient with Diagnosed Haemorrhoids

Ross John Spero Calopedos, Tariq Cachalia, Richard George Arnold and Ban Sulaiman

Article Type: Case Report | First Published: May 25, 2018

A patient review revealed a history of recent occasional PR bleeding typically manifesting as spotting on toilet paper often accompanied by constipation. He had known diverticular disease, haemorrhoids and a previous gastric ulcer. He was also on rivaroxaban for atrial fibrillation and had a 30 pack years history of smoking cigarettes. He had never had a colonoscopy....

 Open Access DOI:10.23937/2469-5866/1510023

Case Report: Paired/Dual Colloid Cysts in the Third Ventricle - A Discussion of Embryological Origin

SM Jay and MR MacFarlane

Article Type: Case Report | First Published: May 25, 2018

A 31-year-old male presented with a 4-month history of rising intracranial pressure. Initial computed tomography (CT) and then magnetic resonance imaging (MRI) showed moderate dilatation of the lateral ventricles with periventricular signal change, an indistinct third ventricle with an ill-defined lesion in the anterosuperior part of the third ventricle. At time of operation two paired/dual colloid cysts were found lying side-by-side in the third ventricle and obstructing both foramena of Munro....

 Open Access DOI:10.23937/2377-4630/1410065

Anesthesia Implications of the Use of Essential Oils in Alzheimer's Dementia

James L Geiger

Article Type: Review Article | First Published: May 25, 2018

The diagnosis and treatment of Alzheimer's dementia (AD) has gained much attention due to the current and predicted prevalence of the disease. The biomarkers of neural inflammation, oxidative stress, genetics and the multiple medical etiologies of AD coupled with the poly-pharmacy of comorbid conditions and diseases associated with AD are complex....

 Open Access DOI:10.23937/2469-5742/1510039

Suture Technique and Complications following Paediatric Testicular Fixation

Caroline Smith and Prasad Godbole

Article Type: Original Article | First Published: May 25, 2018

Testicular torsion occurs in 1:4000 males between the ages of 11 and 16 years of age (original data). In the case of detorsion and salvage of testes bilateral fixation is to be recommended due to the anatomical configuration predisposing to intra-vaginal rotation around the suspensory cord containing the testicular vessels. Though fixation is mandated by BAPU and ESPU references method of fixation remains surgeon preference....

 Open Access DOI:10.23937/2469-5742/1510038

Is Routine Uroflowmetry Necessary following Hypospadias Repair?

Caroline Smith and Prasad Godbole

Article Type: Original Article | First Published: May 25, 2018

Uroflow parameters post hypospadias repair are known to remain poor initially but most improve with time. There is a recognised group of patients who develop late deterioration of flow and may require surgical intervention, but at present there are no standardised guidelines as to length and nature of follow up....

 Open Access DOI:10.23937/2469-5823/1510093

The Croatian Model of University Education for Nurses

Stipan Jankovic, Sonja Koren, Matea Saric, Rahela Orlandini, Vesna Anticevic, Deana svaljug and Ante Buljubasic

Article Type: Review Article | First Published: May 25, 2018

Following the example of Dutch "Model of macro-efficiency of the higher education system" in 2011 the University Department of Health Studies was founded in Split. It is fully integrated with the University of Split (legal and economic services, human resources...). In the course of preparing the curriculum of university study programme in Nursing, for both the undergraduate and graduate university levels....

 Open Access DOI:10.23937/2378-3656/1410210

A Case of Human Metapneumovirus Associated with Acute Haemorrhagic Oedema of Infancy

Padmike Dayananda, Sabrina Barrett and Sathiyaseelan Nair

Article Type: Case Report | First Published: April 11, 2018

Acute Haemorrhagic oedema of infancy (AHOI) is a cutaneous leukocytoclastic vasculitis, clinically characterized by the acute development of peripheral oedema and targetoid purpuric lesions on the face and extremities. It is commonly associated with Pneumococcal Bacteremia, CMV infection and Rotavirus infection....

 Open Access DOI:10.23937/2377-9004/1410123

A Rare Case of Langerhans Cell Histiocytosis

Francesca Letizia Vellucci, Cristina Regini, Alice Cannoni, Cinzia Orlandini, Sandro Razzi, Rosa Santopietro, Felice Petraglia and Stefano Luisi

Article Type: Case Report | First Published: May 25, 2018

A 49-years-old nulliparous woman came to our attention reporting pain and discomfort in the vagina as well as an important dyspareunia, which prevented a normal sex life by a few months. The gynecological examination showed a small paraurethral lesion easily bleeding and a small sub urethral ulcerated lesion. A biopsy specimen of vagina reported localization of Langerhans cell histiocytosis (LCH)....

 Open Access DOI:10.23937/2572-3235.1510034

Assessing Short Term Change in Carpal Bone Age Assessments by Dual-Energy X-Ray Absorptiometry

Jingmei Wang, Sun Yun and Tom V Sanchez

Article Type: Research Article | First Published: May 23, 2018

Bone age assessments are generally done using radiography of the hand and wrist to compare the child's maturity to known standards. While a valuable study, a traditional bone age study is not very reflective of short term change. DXA is proposed as able to more precisely reflect both absolute assessments and short-term changes in maturation. The current study compares radiographic with Norland bone age assessments to compare studies and sensitivity to change in boys and girls....

 Open Access DOI:10.23937/2378-2951/1410113

Cardiovascular Risk Assessment of Dyslipidemic Middle-Aged Adults without Overt Cardiovascular Disease over the Period of 2009-2016 in Lithuania

Sandra Kutkiene, Zaneta Petrulioniene, Aleksandras Laucevicius, Pranas Serpytis, Justina Staigyte, Akvile Saulyte, Emilija Petrulionyte, Urte Gargalskaite, Egle Skiauteryte, Gabija Matuzeviciene, Milda Kovaite, Egidija Rinkuniene and Vilma Dzenkeviciute

Article Type: Research Article | First Published: May 23, 2018

Cardiovascular mortality in Lithuania is extremely high and abnormal lipid levels are very common among Lithuanian adults. Dyslipidemia is one of the main independent risk factors for cardiovascular diseases (CVD) leading to high absolute CVD risk. The aim of this study was to assess CVD risk in dyslipidemic middle-aged subjects....