Open Access DOI:10.23937/2572-3286.1510019

Interventional and Surgical Treatments for Renal Artery Aneurysms

Donghua Xie, Edward Gheiler and Xiangfei He

Article Type: Review Article | First Published: February 03, 2017

Renal artery aneurysm (RAA) is an infrequent entity. Most of them are asymptomatic, but when they present as a rupture a high mortality is associated. Due to the potential risks of rupture and renal dysfunction and some persistent symptoms like hypertension, RAAs must be treated if feasible. Coil embolization or covered stent placement can now be used to treat patients with aneurysms whose size or location would make a surgical approach problematic and patients in whom surgery is considered to p...

 Open Access DOI:10.23937/2378-3516/1410064

Inhaler Technology

Gumani D, Newmarch William, Puopolo Angelica and Casserly Brian

Article Type: Review Article | First Published: December 12, 2016

Inhalers are a commonly used device to deliver medication to individuals with airway disease. With correct use, inhalers are very effective at providing quick and effective symptomatic relief within the lung, avoiding high levels of systemic exposure. These pharmacokinetic characteristics widen the therapeutic index, thus allowing for maximal therapeutic benefit with minimal adverse effects. However, this theoretical advantage is somewhat attenuated by incorrect use of the inhaler device....

 Open Access DOI:10.23937/2474-3690/1510022

The Degree of Apoptosis in the Cytotrophoblast Regulates Amyloidosis Fate in the ER Stress of the Syncytiotrophoblast: Morphological Evidence

C Bosco, M Parra-Cordero and E Diaz

Article Type: Original Article | First Published: December 21, 2016

Recently preeclampsia (PE) has been linked throught molecular evidence to endoplasmic reticulum (ER) stress in the placenta. In this organ ER stress is generated due to placental oxidative stress as a consequence of malperfusion secondary to deficient spiral artery remodeling. Immunohistochemistry and ultrastructural analysis were used to study tissue specimens from 14 term placentas: 4 normal, 4 PE, 3 intrauterine growth restriction (IUGR), and 3 PE+IUGR....

 Open Access DOI:10.23937/2469-584X/1510041

Trends in Inflammatory Bowel Disease- Comparison Between the Arab and Jewish Population in Israel

Benjaminov Fabiana, Stein Assaf, Segal Ramona, Konikoff Fred M, Naftali Timna and Hermoni Doron

Article Type: Research Article | First Published: January 19, 2017

Genetic and environmental factors have a major influence on the pathophysiology of inflammatory bowel disease (IBD). Older studies reported a very low prevalence of IBD among the Arab population in Israel. Evaluate the current prevalence and disease characteristics of IBD in the Israeli-Arab population and to compare them to the Jewish population in the same area....

 Open Access DOI:10.23937/2572-3235.1510021

Inferior Mesenteric Arteriovenous Malformation Presenting as Ischemic Colitis After an Acute Episode of Campylobacter Jejuni Colitis

Roy Hajjar, Patrick Gilbert, Marie-France Giroux, Frank Schwenter and Herawaty Sebajang

Article Type: Case Report | First Published: January 12, 2017

An arteriovenous malformation (AVM) of the inferior mesenteric artery is a rare entity that could be associated with ischemia. We present the case of a 54-year-old male with ischemic colitis after an acute episode of Campylobacter jejuni colitis. A computed tomography (CT) angiography confirmed the presence of an AVM in the inferior mesenteric vascular region, probably causing the ischemia through a steal phenomenon. ...

 Open Access DOI:10.23937/2572-3235.1510020

The Utility and Inter-Reader Agreement in the Evaluation of Pediatric Liver Masses with Hepatobiliary Contrast Enhanced MRI

Hansel J Otero, Asef B Khwaja, Maria A Bedoya, Nancy Chauvin, Kassa Darge and Sudha A Anupindi

Article Type: Original Research | First Published: January 09, 2017

22 patients with liver lesions evaluated on Gd-EOB-DTPA-enhanced MRI were selected. Two reviewers assigned a diagnosis and stratified the hepatobiliary images as: 1) High utility; 2) Potential utility; or 3) No utility. 95% of assigned diagnoses were correct with almost-perfect agreement (κ = 0.92). Hepatobiliary images were deemed useful by at least one reviewer in 82% cases with moderate agreement (k = 0.48)....

 Open Access DOI:10.23937/2469-5742/1510021

Ileus as First Sign of De Novo Neuroendocrine Prostate Cancer

Mads Ryo Jochumsen, Bjorn Agerbo Sahlholdt and Jorgen Bjerggaard Jensen

Article Type: Research Article | First Published: February 13, 2017

A 73-year-old man with almost no previous medical history was admitted acute with stomach pain, distended abdomen, stop of defecation and feculent vomiting. The patient had been constipated for three months and about a month before admission, a coloscopy was performed presenting no findings. Computed Tomography (CT) showed mechanical bowel obstruction and a huge malignantly transformed prostate gland as the triggering cause....

 Open Access DOI:10.23937/2469-5742/1510020

New Insights into the Chemical and Isotopic Composition of Human-Body Biominerals. II: COM Kidney Stones from Greece

Dimitra Athanasiadou, Athanasios Godelitsas, Dimosthenis Sokaras, Andreas-Germanos Karydas, Elisavet Dotsika, Stelios Xanthos and Maria Gamaletsou

Article Type: Research Article | First Published: February 10, 2017

Kidney stone disease (urolithiasis) is a serious health problem, involving more than 5% of the population, especially in developing countries. Urolithiasis, the formation of urinary calculi in the kidney, bladder and/or urethra, can be attributed to several risk factors related to geographical region, gender and dietary habits....

 Open Access DOI:10.23937/2572-3987.1510009

Levothyroxine for Hypothyroidism: Current Status of Biowaiver and Bioequivalence Studies

Nunez-Guzman NA, Munoz-Ibarra AI, Ruiz-Molina D, Figueroa-Nunez B and Garcia-Perez ME

Article Type: Review Article | First Published: January 24, 2017

Hypothyroidism is a common disease that needs to be closely treated, in order to reduce adverse symptoms and pathophysiological effects. For thyroid hormone replacement is preferred a therapy with a synthetic form of thyroxine (levothyroxine), a drug recognized by its Narrow Therapeutic Index. Generic levothyroxine can be an economic alternative for Hypothyroidism treatment....

 Open Access DOI:10.23937/2572-407X.1510008

Adrenal Neuroblastoma Mimicking Pheochromocytoma in an Adult with Neurofibromatosis Type 1

Harbi Khalayleh, Hilla Knobler, Vitaly Medvedovsky, Edit Feldberg, Judith Diment, Lena Pinkas, Guennadi Kouniavsky and Taiba Zornitzki

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

A 42-year-old normotensive woman with neurofibromatosis type 1 (NF1) with typical cutaneous manifestations (multiple neurofibromas, cafe-au-lait spots and axillary freckling), underwent evaluation for abdominal pain and a large left adrenal mass displacing the spleen pancreas and colon, was found upon a CT scan....