Open Access DOI:10.23937/2474-1353/1510035

Recommendations for Caffeine Intake Reduction in Women with Urinary Incontinence: A Systematic Review of Literature

Marcela Gurovich, Cristhel K Fagerstrom, Maria J Prieto and Hugo Sanchez

Article Type: Review Article | First Published: September 22, 2016

Urinary incontinence (UI) affects millions of people around the world and affects quality of life (QoL). Even though public exposure to this problem in recent years through commercial advertisements has facilitated women seeking care, the frequency is still low. Prevalence of the condition varies according to study participants and measurement of UI. The different methodologies used across studies accounts for some of the variation....

 Open Access DOI:10.23937/2572-3286.1510015

Prevalence of Echocardiographic Abnormalities and its Relation to Thyroid Abnormalities among Hemodialysis Patients

Osama A Khamis, Salama S Abdellatif, Mostafa A Alsawasany, Abdellah H ELSadek, Amin M Hegazy, Khaled M Dessouky and Ahmed M Fahmy

Article Type: Original Article | First Published: October 19, 2016

The kidney is involved in the regulation of thyroid hormones metabolism. Numerous abnormalities of thyroid hormones in end-stage kidney disease (ESKD) have been described. The aim of our study was to estimate the prevalence of thyroid dysfunction and its relation to Echocardiologic abnormalities in patients with end stage kidney disease....

 Open Access DOI:10.23937/2572-3286.1510014

Nephrologist Personality Traits and Optimal Renal Replacement Therapy Modality Initiation - 'Teamwork Makes the Dream Work'

Agnes Masengu, Melanie Wolfenden, Alexander P Maxwell and Jennifer B Hanko

Article Type: Research Article | First Published: October 12, 2016

Personality traits have been associated with job performance. Previous studies have explored nephrologist preferences regarding optimal renal replacement therapy (RRT) outcomes in patients with end-stage renal disease. The role of physician personality traits and patient outcomes has not been investigated. A pilot study was carried out at a single centre to investigate this....

 Open Access DOI:10.23937/2378-3419/3/5/1067

Magnetic Resonance Imaging Targeted Biopsies alone are not Sufficient for Detection of Clinically Significant Prostate Cancer - A Systematic Review and Meta-Analysis

Cayce B Nawaf, Nathanial T Ondeck, Laura A Skrip, Rollin K Say, John M Gunselman, Jamil Syed, Peter G Schulam and Preston C Sprenkle

Article Type: Original Research Article | First Published: September 22, 2016

Magnetic resonance imaging targeted biopsies (MRI-Tbx) has the potential to detect significant prostate cancer with a small number of cores; however, there are concerns that some clinically significant (CS) cancers may not be visible on MRI or identified with targeted biopsies alone....

 Open Access DOI:10.23937/2378-3001/3/4/1055

MR as a Biomarker for Metronidazole Induced Encephalopathy: Clinical, Neuroimaging and Differential Diagnostic Features

Charles D Donohoe and Paul A Guidos

Article Type: Case Report | First Published: August 27, 2016

Central nervous system CNS toxicity is a rare complication of a commonly used antibiotic, metronidazole. We report a representative case of metronidazole-induced encephalopathy in an individual with increased vulnerability due to underlying liver disease. Features included the essential clinical symptoms of dysarthria and ataxia and characteristic MR abnormalities of increased T2 and FLAIR signal in the dentate nuclei both of which were rapidly reversible upon drug discontinuation....

 Open Access DOI:10.23937/2378-3001/3/4/1054

Congenital Skull Depression in a Newborn Delivered by Cesarean Section due to Continued Occipitotransverse Position: Case Report and Short Communication

Yuejun Huang, Jingwen Zhuang, Yezhen Chen and Weizhong Li

Article Type: Case Report | First Published: August 24, 2016

We reported one case of congenital skull depression in a male newborn who delivered by cesarean section due to continued occipitotransverse position. His mother had no history of abdominal trauma during the pregnancy, and there were no complications and difficulties in the process of cesarean delivery. The neurological examination of the baby was normal after birth. The depression had completely resolved when the child was 4 months. The child was meeting all appropriate developmental milestones ...

 Open Access DOI:10.23937/2572-407X.1510006

Update on Pituitary Folliculo-Stellate Cells

Maria Pires and Francisco Tortosa

Article Type: Mini Review | First Published: October 27, 2016

Folliculo-stellate cells (FSCs) are a non-endocrine population of sustentacular-like, star-shaped and follicle-forming cells, which contribute about 5-10% of elements from the anterior pituitary lobe. First identified with electron microscopy as non-hormone secreting accessory cells, light microscopy has revealed many of their cytophysiological features, and is known as positive for S-100 protein, a marker for FSCs. They are currently considered as functionally and phenotypically heterogeneous.....

 Open Access DOI:10.23937/2474-3674/1510020

Efficacy of Early Laparoscopic Surgery in Acute Abdomen Secondary to Perforated Jejunal Diverticulitis

Ramiro Galvez-Valdovinos, Ernesto Marin Y Santillan and Gustavo Lopez-Ambriz

Article Type: Case Report | First Published: September 12, 2016

A 39-year-old man with abdominal pain, fever and general poor state. Physical examination showed fever, Tachycardia, Left basal hypoventilation and acute surgical abdomen. A Abdominal X-Ray showed accumulation of calcifications in mesogastric. The laboratory test showed leukocytosis and the abdominal CT-Scan showed the cause of the acute surgical abdomen. The laparoscopic surgery was recommended and performed....

 Open Access DOI:10.23937/2378-3656/1410137

Unresolved Issues concerning Inadequate Immune Response after Rabies Post-Exposure Prophylaxis in an Immunocompromised Patient

Rana Shibli and Shmuel Rishpon

Article Type: Case Report | First Published: November 05, 2016

We present an immunocompromised patient with inadequate immune response to the rabies post exposure prophylaxis (PEP), and our management strategy after this inadequate response. Currently, evidence based strategy for action after failure of PEP is partial. Since the prevalence of immunocompromised patients is increasing, further studies and guidelines are necessary....

 Open Access DOI:10.23937/2378-3656/1410136

Equivalence of Boosted Atazanavir Based Regimens and Currently Effective HAART Regimens with Other PI's/NNRTI's in HIV + Children and Adolescents with Elevated Lipid Levels

Janice Piatt, Jeff Foti, Kimberley Bickes, Deborah Frusciano and Laura Clarke-Steffen

Article Type: Research Article | First Published: October 31, 2016

A frequent side-effect of antiretroviral therapy is elevation of plasma lipids and cholesterol. Atazanavir has been shown in adults to have a smaller elevation in plasma lipids in relation to other protease inhibitors. The purpose of this study was to determine the efficacy of Atazanavir in pediatric patients switching to Atazanavir from other HAART regimens and to compare the lipid levels after the switch....