Open Access DOI:10.23937/2469-5718/1510068

Validity of Simple Health Assessments to Evaluate Locomotive and Cognitive Functions of Late-Stage Older Adults in Japan

Eri Sarashina, Katsuyoshi Mizukami, Hanatsu Nagano and Rezaul K Begg

Article Type: Research Article | First Published: August 14, 2017

Due to the trend of ageing commonly seen in developed countries, late-stage older adults are expected to enhance their healthy life expectancy for sustainable healthcare systems. Sound locomotive and cognitive functions are the two important factors for independent lifestyles. While various institutions offer simple health assessments to check their health status, their validity still has room for debate....

 Open Access DOI:10.23937/2469-5718/1510067

Glucose Turn Point as a Marker of Exercise Intensity in Elite Swimmers

Emma Swanwick and Martyn Matthews

Article Type: Research Article | First Published: August 11, 2017

Physical exercise brings an increased demand for substrates to be metabolized in working muscle. Part of this requirement is met by glucose, circulating in the blood, released from an increase in hepatic glycogenolysis and through the use of glycogen in the muscle. The movement of glucose from the blood into the muscle cell is mediated by GLUT-4 transporters....

 Open Access DOI:10.23937/2378-3656/1410183

The Unpredictably Deadly Twist: A Case of Acute Mesenteric Ischaemia after Successful Gastrectomy

Salvatore Marchese, Yassar Ahmed Qureshi and Ashish Rohatgi

Article Type: Case Report | First Published: August 31, 2017

A 73-year-old woman underwent total gastrectomy for cancer. Postoperative course was uneventful until day five when she felt unwell, showing distended and tender abdomen. Developed acute kidney injury and metabolic acidosis with a lactate level of 13.5 mmol/L....

 Open Access DOI:10.23937/2378-3656/1410182

Brown Adipose Tissue and Disease: New Insights from Historical Data

Peter Aldiss, Patricia Burton, Shalini Ojha, Helen Budge and Michael E Symonds

Article Type: Research Article | First Published: August 26, 2017

At birth Perirenal Adipose Tissue (PrAT) exhibits a brown-like phenotype and then becomes phenotypically white with ageing and obesity, potentially contributing to the onset of chronic disease. Little is known about the composition of PrAT in the later years of life and whether it is modulated by different types of disease....

 Open Access DOI:10.23937/2378-3656/1410181

Accidental Ingestion of a Dental Bridge

Salvatore Marchese, Rosario Vecchio and Eva Intagliata

Article Type: Clinical Image | First Published: August 26, 2017

A 44-year-old female presented at the accident and emergency service for having swallowed a dental bridge few hours before during dinner. At the time of the visit, she was completely asymptomatic and no abdominal discomfort was reported. She had no background of mental disorder or misuse of alcohol or other drugs....

 Open Access DOI:10.23937/2378-3656/1410180

Cervical Subcutaneous Emphysema, Pneumomediastinum, Pneumoperitoneum and Pneumoretroperitoneum after Therapeutic Colonoscopy without Obvious Colon Perforation - A Case Report

Emese Ivany, Mark Philip Marcus and Tamas Molnar

Article Type: Case Report | First Published: August 23, 2017

We present a case of a 68-year-old man who underwent control colonoscopy 10 years after sigmoid resection due to a previous adenocarcinoma. An ascending colon polypectomy was performed by endoscopic mucosa resection and a sessile polyp was resected from the sigmoid colon....

 Open Access DOI:10.23937/2378-3656/1410179

Endovascular Treatment of Blunt Traumatic Injury to the Brachial Artery: Case Report and Review of the Literature

RR Smeets, A Ryckx, AG Krasznai, CJJM Sikkink and LH Bouwman

Article Type: Case Report | First Published: August 21, 2017

Blunt traumatic injury to the subclavian, axillary or brachial artery is uncommon and could have devastating consequences. Historically open repair is performed however reports of successful endovascular treatments are increasing. A case is described of a seventy one-year-old patient with a blunt injury to his right arm after being crushed in a closing hydraulic door of a truck....

 Open Access DOI:10.23937/2474-3682/1510072

Gastric Duplication Cyst as an Unusual Cause of Gastric Outlet Obstruction in an Adult

Shinil K Shah, Sheilendra S Mehta and Kulvinder S Bajwa

Article Type: Image | First Published: September 06, 2017

The patient is a 29-year-old man with no significant medical or surgical history who presented with 2 months of nausea, emesis, and 20 pounds of unintentional weight loss. On initial presentation, he was afebrile with normal vital signs. His abdomen was soft, non-distended and non-tender....

 Open Access DOI:10.23937/2474-3682/1510071

Pyogenic Sacroiliitis and Multilocular Abscess Involving the Sacroiliac Joints in a Patient with Lumbar Pain

Ibrahim Guler, Emine Uysal, Nazlım Aktug Demir, Hakan Cebeci and Mustafa Koplay

Article Type: Image | First Published: September 06, 2017

A 21-year-old female patient applied to our hospital with gluteal and lumbar pain. Physical examination revealed tenderness in the bilateral sacral-lumbar area and limitation of the bilateral hip joint. Sacroiliac joint MRI showed the bone marrow oedema, overlying soft tissue swelling, right gluteal muscles abscess and multilocular abscess involving the bilateral sacroiliac joint....

 Open Access DOI:10.23937/2474-3682/1510070

Multimodality Imaging of a Huge Subaortic Left Ventricular Aneurysm in a Child

Humberto Morais, Albino Pedro, Maria Ana Sampaio Nunes, Maria Joao Reis4 and Joao Carlos Costa

Article Type: Image | First Published: September 04, 2017

A 13-year-old girl, born from term pregnancy and normal delivery was referred to our institution for signs and symptoms of decompensated heart failure. The patient was polypneic and, jugular engorgement, positive hepatojugular reflux, a 4/6 systolic murmur in the mitral area radiating to the axilla, and a hepatomegaly was observed on physical examination. Chest radiography revealed cardiomegaly. Electrocardiogram revealed sinus rhythm and signs of biatrial overload....