Open Access DOI:10.23937/2469-5734/1510159

A Call to Address the Persistence of Barriers to Oral Health Care for Low-Income Groups in America

Sara Mojtahedi, MS, DMD, AsherLev T Santos, PhD, MPIA

Article Type: Review Article | First Published: 2023/12/17

According to a study by Jang, et al. [1] on the Korean population, virtually all barriers barring low-income groups from accessing dental care can be resolved through increased insurance coverage. The authors considered all other critical aspects that may influence the frequency of oral care access, such as education, social trends, and Korean population growth. Still, the findings indicated that dental insurance coverage is essential in determining access to precautionary periodontal maintenanc...

 Open Access DOI:10.23937/2378-3664.1410040

En Bloc Staining with Uranyl Acetate Zero (UA-Zero) for Transmission Electron Microscopy

Santhana Raj L, Fauzah Abd Ghani, Jing Siew Ting, Intan Shameha Abdul Razak and Nur Afrina Muhamad Hendri

Article Type: Electron Microscopy | First Published: 2023/12/15

Uranyl acetate (UA) is one of the heavy metals used to stain tissue in sample preparation for transmission electron microscopy (TEM). It gives excellent contrast to ultrastructure morphology. Unfortunately, UA is very toxic and has proven to be a carcinogen and radioactive reagent. Meanwhile, UA-Zero is a UA replacement with improved staining property has shown better for staining due to its safety profile and environmental-friendly properties....

 Open Access DOI:10.23937/2643-4474/1710151

Giant Intracranial Epidermoid Tumour: Decision Making in a Complex Case

Nicholas G Candy and Stephen Santoreneos

Article Type: Case Report | First Published: 2023/12/15

We present the case of a young female who presented with a giant infratentorial and supratentorial epidermoid cyst. Due to the size of the cyst, the decision was made to stage the surgical resection across two operations rather than undertake a single radical surgical approach. This presented the dilemma of timing for the second stage given the risk of aseptic meningitis occurring with an incompletely resect epidermoid cyst, making the second surgery more challenging due to scarring....

 Open Access DOI:10.23937/2643-4474/1710150

Primary Intramedullary Spinal Cord Astroblastoma with EWSR1/BEND2 Fusion: A Case Report and Literature Review

Ming-Sheng Lim, Catherine Moran and Alan Beausang

Article Type: Case Report | First Published: 2023/12/14

Astroblastomas are rare tumours of the central nervous system, and only a few cases of brain stem/primary spinal cord astroblastoma have been reported. It has been suggested that EWSR1/BEND2 fusion defines an epigenetically distinct subtype of astroblastoma. We present a rare case of primary intramedullary spinal cord astroblastoma with EWSR1/BEND2 fusion. To our knowledge, this is only the third reported case in the literature with this specific diagnosis, the first in an adult female, and the ...

 Open Access DOI:10.23937/2643-4474/1710149

Delayed Symptomatic Cerebrospinal Leakage after Percutaneous Stenoscopy Lumbar Decompression: A Case Report

Kevin Jonathan Sjukur, Andi Asadul Islam, Andi Ihwan, Rais Al-'Abqary and Nailul Humam

Article Type: Case Report | First Published: 2023/11/16

Percutaneous stenoscopy lumbar decompression (PLSD) is a minimally invasive procedure to treat herniated nucleus pulposus (HNP). The most common and dangerous complication of this procedure is cerebrospinal (CSF) leakage. If there is an undetectable small tear in the dura during surgery or known as an occult dural tear (ODT), it can lead to a delayed CSF leakage....

 Open Access DOI:10.23937/2572-4010.1510047

Paleo vs. Keto vs. Animal Based: A Comprehensive Comparative Analysis of the Optimal Human Diet

Wendy Wen and Shi Wu Wen

Article Type: Review Article | First Published: 2023/12/11

There are countless dieticians, nutritionists, and health gurus out there, some of whom are certified and some who are not, with differing views in regards to what a perfect diet looks like; however, there is no one who denies that throughout the course of human existence, animal foods have been hunted and incorporated as an integral part of the evolution and continuation of our species. ...

 Open Access DOI:10.23937/2643-3885/1710086

Bipartite Medial Cuneiform: A Forgotten Source of Midfoot Pain – Case Report and Review of the Literature

Diogo Manuel Meireles Soares and João Filipe Ferreira Brandão Vide

Article Type: Case Report | First Published: 2023/12/13

The bipartite medial cuneiform (BMC) is a rare congenital variant in the Lisfranc joint. In the majority of the cases BMC is asymptomatic and diagnosed as an incidental imaging finding. Clinical awareness of this entity is relevant when evaluating a patient with midfoot pain following both acute trauma or in the setting of chronic and insidious midfoot complaints....

 Open Access DOI:10.23937/2378-3656/1410440

Diabetes Remission with Plant-Based Diet Restoring Integrity of an Advanced Charcot's Neuroarthropathic Foot & Ankle: Factors Contributing to Functional Recovery

Gunadhar Panigrahi, MD, FACC, DipABLM, FACLM

Article Type: Case Report And Clinical Review | First Published: 2023/12/09

Diabetes mellitus is the most common cause of Charcot's Neuroarthropathy (CN). It is a devastating complication of longstanding uncontrolled hyperglycemia. When present, it leads to cascades of interrelated and compounding pathophysiological abnormalities resulting in distal peripheral neuropathy, vasculopathy, inflammation, and arthropathy. If diagnosed early, it responds to conservative medical management with diabetes control, non-weight bearing (offloading), and immobilization;...

 Open Access DOI:10.23937/2474-3682/1510226

Uterine Adenomyosis: An Uncommonly Oversized Uterus in a 30-Year-Old Patient

Fernanda Alves, Zélia Gomes, Yida Fan, Ana Moreira and Osvaldo Moutinho

Article Type: Image - New Technique | First Published: 2023/12/17

Uterine adenomyosis is a disorder in which endometrial glands and stroma are present within the myometrium, resulting in hypertrophy of the surrounding myometrium [1,2]. Its exact epidemiology is uncertain as data regarding this condition has often relied on the assessment of the uterus following hysterectomy. However, studies have reported that it seems to be present in a wide range of individuals undergoing hysterectomy (9-62%)....

 Open Access DOI:10.23937/2474-3682/1510225

Two-Finger Technique and No-Finger Technique of Holding a Face Mask

Bokinala Naveen, MBBS, MD

Article Type: Image - New Technique | First Published: 2023/12/11

The Figure 1 shown above depicts the method of holding a face mask in a paralyzed patient. The middle finger is used to lift the chin and thumb is used to hold the mask with direction of force towards the angle of mandible (arrow direction) making sure that the lower side of mask is in contact with the patient....