Open Access DOI:10.23937/2469-5823/1510060

Healthcare Provider Guidance for Breast Cancer Screening

Ray Cody Mayo

Article Type: Short Commentary | First Published: January 09, 2017

Breast cancer is the most common non-skin cancer in American women. Currently there are multiple differing recommendations regarding the appropriate approach to breast cancer screening. Unfortunately this lack of clarity causes confusion on the part of the healthcare provider and patient which may lead to suboptimal healthcare decisions. The current recommendations are reviewed and patient guidance is discussed below in a concise, organized format....

 Open Access DOI:10.23937/2469-5726/1510046

Scleroderma Renal Crisis

Gioacchino Li Cavoli, Luisa Bono, Calogera Tortorici, Carlo Giammarresi, Tancredi Vincenzo Li Cavoli and Ugo Rotolo

Article Type: Case Report | First Published: February 14, 2017

Scleroderma or Systemic sclerosis is a vascular and fibrotic disease with organ-based complications and high mortality and morbidity. Renal involvement can be quite varied and scleroderma renal crisis is the most severe manifestation. We report our experience. In February 2016 a 52-year-old male was admitted to hospital with pulmonary oedema and severe arterial hypertension (240/120 mmHg)....

 Open Access DOI:10.23937/2469-5726/1510045

Relapsing Polychondritis with Central Nervous System Involvement Presented as Encephalitis: 7 Cases and Literature Review

Anna Zhou, Xindi Li, Lin Zhao, Yonghong Liu and Xinghu Zhang

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

Objectives: This study aims to describe the clinical manifests, CSF features and brain MRI characters of patients with relapsing polychondritis (RP) and central nervous system (CNS) involvement presented as encephalitis. Methods: Seven cases with RP and CNS involvement were enrolled from 2011 to 2015. RP was diagnosed upon the modified McAdam criteria, and CNS dysfunction secondary to RP was decided by clinical manifests, CSF analysis and brain MRI....

 Open Access DOI:10.23937/2469-5726/1510044

Is There a Correlation Between DAS28/RADAI in a Cohort of Rheumatoid Arthritis Patients Treated with Biological Therapy

Hèctor Corominas, Silvia García-Diaz, Salvador Campos, Silvia Sánchez-Serrano, Silvia Iniesta, Isabel Padró, Lucinda Sanchez-Eslava, Elena Fernández-Casado, Montse Sesma, Cristina Saura, Mari Carmen Rodríguez, Maria Rusiñol and Montse Jordana

Article Type: Research Article | First Published: January 31, 2017

Rheumatoid arthritis (RA) is a chronic inflammatory heterogeneous disease presenting with acute flares, showing a prevalence of 0.5% in Spanish population according to the study EPISER and an annual incidence of 8.3 cases per 100,000 population, and that in the absence of optimal and individualized treatment causes a long-term severe disability....

 Open Access DOI:10.23937/2474-3674/1510022

Cerebral Air Embolism in Commercial Flights: A Potentially Fatal Complication of Intrathoracic Lesions

Beatriz Oyanguren, Araceli Alonso-Canovas, Alicia de Felipe and Jaime Masjuan

Article Type: Case Report | First Published: February 18, 2017

Five patients with CAE were admitted to our Emergency Department (A-E). All experienced loss of consciousness (LOC). Chest radiograph showed thoracic bullae. Brain computed tomography (CT) showed subarachnoid bubbles (A), intraparenchymal bubbles (B), global hypoperfusion (C), or no abnormalities (D, E). With supportive treatment, four survived, while B died. Including ours, 18 cases of CAE during commercial flights have been reported. LOC and dyspnea were common....

 Open Access DOI:10.23937/2474-3674/1510021

An Unstable Coronary Situation: A Case of Two Aborted Myocardial Infarctions in Three Days

Ephraim B Winzer and Axel Linke

Article Type: Case Report | First Published: January 25, 2017

In patients with stable coronary artery disease percutaneous coronary intervention (PCI) effectively improves symptoms in the absence of any effect on prognosis. In contrast, in patients with acute coronary syndrome (ACS) PCI significantly reduces the risk of acute myocardial infarction and death as compared to conservative, noninvasive strategy....

 Open Access DOI:10.23937/2378-3656/1410151

Significance of Antiphospholipid Antibodies in Essential Cryoglobulinemia: A Case Report and Review of Literature

Rama Atluri and Mian Muhammad Rizwan

Article Type: Case Report | First Published: January 13, 2017

Cryoglobulinemia is a rare immune-complex-mediated small vessel vasculitis that has a smoldering clinical course and can potentially involve multiple organ systems. The discovery of its relationship with hepatitis C infection shows the striking association between a viral infection, an autoimmune disease and lymphoproliferative disorders....

 Open Access DOI:10.23937/2378-3656/1410150

Dapagliflozin- Induced Severe Ketoacidosis Requiring Hemodialysis

Ossama Maadarani, Zouheir Bitar and Rashed Alhamdan

Article Type: Case Report | First Published: December 26, 2016

The availability of novel classes of medication for the treatment of type 2 Diabetes mellitus (type 2 DM) provides doctors with options to choose individualized treatments based on patient and agent characteristics beyond metformin therapy, as per current guidelines. Independent of impaired beta-cell function and insulin resistance, sodium glucose cotransporter type 2 (SGLT2) inhibitors represent a different treatment strategy for reducing plasma glucose levels and glycosylated hemoglobin concen...

 Open Access DOI:10.23937/2469-570X/1410044

The C. Elegans Gscs: A Powerful Model for In Vivo Study of Adult Stem Cell Regulation

Patrick Narbonne, Abigail R Gerhold, Jean-Claude Labbe and Paul S Maddox

Article Type: Review Article | First Published: December 10, 2016

Adult stem cells hold tremendous potential for regenerative medicine. Harnessing their therapeutic benefits requires that we gain fundamental understanding of the mechanisms by which stem cells function and divide in vivo. This is hampered by the fact that stem cells often reside in compartments that remain difficult to access using imaging approaches....

 Open Access DOI:10.23937/2469-570X/1410043

Central Odontogenic Fibroma of the Mandible-Revisiting Pathogenesis of Benign Tumor of the Jaw

Qilin Xu, Qunzhou Zhang, Steven Wang, Brian P Ford, Prem Pate, Lee R Carrasco, Anh D Le and Faizan Alawi

Article Type: Case Report | First Published: December 07, 2016

Central odontogenic fibroma (COF) is an uncommon benign tumor of the jaw, which clinically presents as a slow-growing neoplasm with cortical bony expansion. It has been postulated that COF might be derived from the inactive-like small nests or islands of odontogenic epithelium. However, the pathophysiology of this rare benign tumor remains largely unknown. Herein, we reported a case of simple type of COF in the mandible in a 24-year-old man who presented with progressive mandibular swelling and ...