Open Access DOI:10.23937/2378-346X/1410059

Relation of Pupil Size and Cataract Surgery using PupilX

Annekatrin Rickmann, Maria Waizel, Peter Szurman and Karl T Boden

Article Type: Original Article | First Published: July 08, 2016

Pupil size of healthy study participants was measured with infrared-video PupilX pupillometer (MEye Tech GmbH) at 5 different illumination levels (0, 0.5, 4, 32 and 250 lux) before and after cataract surgery. Measurements were performed by the same investigator. 90 images were recorded during a measurement period of 3 seconds. The absolute linear camera resolution was approximately 20 pixels per mm....

 Open Access DOI:10.23937/2378-346X/1410058

A Novel Osmoprotectant Tear Substitute for the Treatment of Dry Eye Disease

Giuseppe Giannaccare, Michela Fresina and Piera Versura

Article Type: Research Article | First Published: July 05, 2016

Thirty patients (24 women, 6 men, median age 45.5 yrs) were enrolled. Inclusion criteria were: age ≥ 18 years, good general health, ocular discomfort symptoms for over three months, Ocular Surface Disease Index (OSDI) score ranging from 18 to 36, Schirmer test > 10 mm/5 min, Tear Film Break Up Time (TBUT) < 10 sec, corneal fluorescein staining ranging from 1 to 7 according to NEI level. Patients were administered three times daily for a two-month period with Isomar Eyes Plus, a hypotonic s...

 Open Access DOI:10.23937/2572-3235.1510017

A Retrospective Comparison of Pre-Operative Computed Tomographic Angiography (CTA) Performed at 100 versus 120 kVp Tube Energies and Surgical Findings at Laparoscopic Donor Nephrectomy

Pardeep Mittal, Courtney C Moreno, Jianhai Li, Kenneth Newell, William E Torres and William Small

Article Type: Retrospective Review | First Published: July 19, 2016

Introduction: A retrospective review of patients who underwent preoperative Computed Tomographic Angiography (CTA) prior to living laparoscopic renal donation was performed. Image quality and accuracy were compared at 120 and 100 kVp tube energies with respect to quantitative image parameters and prediction of surgical findings. Material and methods: A total of 193 patients were reviewed, all of whom underwent laparoscopic donor nephrectomy with preceding CTA evaluation over a 5.5 year period......

 Open Access DOI:10.23937/2572-3235.1510016

Radiation Protection in X-Ray Computed Tomography: Literature Review

Khalid G Alsafi

Article Type: Review Article | First Published: July 18, 2016

The aim of this study was to evaluate radiation protection techniques in computed tomography (CT) scanning, address concerns on the increased population exposure during CT procedures, and provide a review on dose management and optimization procedures. Radiation protection in CT requires regular dose surveys and optimization of CT exposure parameters, establishing and/or implementing diagnostic references (DRLs), implementation of a comprehensive quality assurance program, reference dose levels,...

 Open Access DOI:10.23937/2572-3235.1510015

Low Dose CT of the Brain in the Follow-up of Intracranial Hemorrhage

Stella Blasel, Luisa Huck, Juergen Konczalla, Stephanie Lescher, Hanns Ackermann, Joachim Berkefeld and Marlies Wagner

Article Type: Original Article | First Published: July 16, 2016

Objectives: Adult patients with intracranial hemorrhage (ICH) are often young but receive serial cranial computer tomography (CCT). To lower their cumulative radiation dose risks, we evaluated applicability of low dose cranial CT (LD-CCT) in the follow-up of ICH patients compared to an initial standard dose cranial CT (SD-CCT). Methods: 53 ICH patients underwent initial SD-CCT (350 mAs/120 kV) and follow-up LD-CCT (either 220 or 240 mAs/120 kV). Iterative reconstruction used for both dose levels...

 Open Access DOI:10.23937/2377-4630/3/3/1050

Which Guidance Method during Tracheotomy Procedure in Patients with Short Neck in the ICU? A Prospective Randomized Study

Esra Ozayar, Handan Gulec, Zehra Baykal Tutal, Munire Babayigit, Mehmet Sirin, Aysun Kurtay and Eyup Horasanli

Article Type: Original Article | First Published: July 20, 2016

Percutaneous tracheotomy is a common procedure in the intensive care units (ICU). Although majority of the complications related to this procedure are considered minor, serious complications secondary to tracheotomies are still being reported. Definition of short neck is not clear in the medical literature, but well known to anesthesiologists since they are flagged for possible difficult airway. Thyromental and sternomental distance, range of neck extension and neck circumference are some of the...

 Open Access DOI:10.23937/2377-4630/3/3/1049

Pre-Clinical Pharmacokinetics of Sufentanil-2-Hydroxypropyl-Β-Cyclodextrin Inclusion Complex

Silvana Aparecida Calafatti, Marcelo de Macedo, Juliana Zampoli Boava Papini, Edvaldo Coelho, Cintia Maria Saia Cereda, Jose Pedrazzoli Junior, Eneida de Paula, Daniele Ribeiro de Araujo and Giovana Radomille Tofoli

Article Type: Research Article | First Published: July 18, 2016

Opioids are used for the postoperative period, cancer pain and for moderate to severe chronic noncancer pain. Sufentanil (SUF) is a highly lipophilic opioid that presents rapid and highly effective pain relief, but it presents short duration of action. Due to this short duration of action, SUF is currently used as an intravenous anesthetic agent and analgesic adjuvant for surgery and labor....

 Open Access DOI:10.23937/2377-4630/3/2/1048

Ultrasound-guided Transmuscular Quadratus Lumborum (TQL) Block for Pain Management after Caesarean Section

Nina Maenchen, Christian Kruse Hansen, Mette Dam and Jens Borglum

Article Type: Case Report | First Published: June 28, 2016

The ultrasound-guided transmuscular quadratus lumborum (TQL) block performed in the lumbar paravertebral region exerts its effect by spreading into the thoracic paravertebral space with blockade of both somatosensory and visceral nerves of the abdominal and retroperitoneal region. We discovered an inadequate management of post-operative pain by the conventional analgesic regimen among caesarean section patients in our hospital. In this report we present three cases where the TQL block is demonst...

 Open Access DOI:10.23937/2469-5807/1510041

Images and Text Operation Records: Xi'an Agreement

Xiaopeng Yan, Liang Han, Xuemin Liu, Lin Fan, Zheng Wu and Yi Lv

Article Type: Short Commentary | First Published: June 30, 2016

Operation notes are a very important part of a patient's medical record. They not only record the operation process during the surgery, but also objectively describe the organs lesions. They play a useful role in the referral disease communication, pathological diagnosis, medical practice education, and cases review. However, the current operation notes are hand-written texts therefore many deficiencies as follows: 1. It is difficult to describe the difficult and complicated operation process ac...

 Open Access DOI:10.23937/2469-5807/1510040

Hypercholesterolemic Diet: Its Effect on Colorectal Precancerous Lesions Induced by Dimethylhydrazine

Franciane da Silva Franca, Rodrigo Zeni Cora, Helena Cristina Ferreira Franz and Flavia Martinello

Article Type: Short Communication | First Published: June 30, 2016

Objective: Evaluate the effects of dietary cholesterol, without the addition of cholic acid in the initial stage of carcinogenesis and on the bifidobacteria into the colon. Methods: Rats were grouped according to their diets and dimethylhydrazine treatment (DMH): standard diet (CN); CN + cholesterol 1% (CHOL); CN + DMH (CNDMH) and CN + cholesterol 1% + DMH (CHOLDMH). After eight weeks of treatment were analyzed weight gain, faecal pH, lipid profile, hepatic and faecal cholesterol, faecal bifidob...