Open Access DOI:10.23937/2378-3656/1410102
Does Breast Feeding Protect from Development of Breast Disease?
Muna M Baslaim, Forough Farrokhyar, Shefaa A Al-Amoudi, Arwa A Ashoor and Oussamah M Saidam
Article Type: Original Article | First Published: April 20, 2016
We retrospectively analyzed the data base of the breast unit at King Fahd Hospital from January 2000 till May 2012. We calculated proportions with 95% confidence intervals (CI) and used Logistic regression analysis to explore the predictors. Odds ratios with 95% CI were reported and p value of 0.05 was considered for significance. Breast feeding data were available for 1970 parous women of which 1856 (94.3%; 95% CI: 93.1%-95.2%) breast fed their babies....
Open Access DOI:10.23937/2378-3656/1410101
Endometrioma Complicated by a Rare Bleeding Disorder Mimicking Ovarian Cancer
Mitchell Hoffman, Odette Daly and John Bomalaski
Article Type: Case Report | First Published: April 18, 2016
Hemophilia A is a congenital X-linked recessive bleeding disorder due to factor VIII deficiency. It is exceedingly rare in females. The association of the most common bleeding disorder (Von Willebrand Disease) and hemoperitoneum secondary to a hemorrhagic corpus luteum is well known. Most women with Hemophilia A are asymptomatic but scattered moderate and severe cases have been described....
Open Access DOI:10.23937/2572-3243.1510011
The Effects of Manual Mobilization on the Mobility of the Thoracic Spine in Patients with Ankylosing Spondylitis
Uwe Lange, Martin Sperling, Katrin Richter, Gabriel Dischereit, Ulf Muller-Ladner and Ingo H. Tarner
Article Type: Original Article | First Published: April 26, 2016
Two groups, each consisting of 12 patients, were treated with standard physiotherapy during a regular inpatient stay. After randomization, one group was also treated with manual mobilization of the thoracic spine for an average of 6 sessions, whereas the other group only received conventional physiotherapy. The primary outcome parameter was the mobility of the thoracic spine represented by the Ott's sign. The secondary outcome parameters were pain (VAS), respiratory function (differences of ches...
Open Access DOI:10.23937/2377-9004/1410084
Cutaneous Horn of the Breast: A Rare Clinical Feature
Cedric Nadeau, David Desseauve and Emilie Laban
Article Type: Letter to Editor | First Published: April 11, 2016
A benign cutaneous horn was evocated as its base was thin but the diagnostic of a pre invasive intraepithelial dysplasia or squamous cell carcinoma of the skin had to be eliminated by histological examination. It looked like a solid elongated keratinized tumor connected to the skin by a thin bridge of pink/red regular skin (Figure 1 and Figure 2). No evidence of pre invasive skin lesion was found around. The patient had an excision of the lesion and its base under local anesthesia....
Open Access DOI:10.23937/2377-9004/1410082
Amniotic Fluid Embolism: Combined Treatment with Surgery and Extracorporeal Membrane Oxygenation Support - A Case Report
Arnon Wiznitzer, Rinat Gabbay-Benziv, Eran Altman, Dan Aravot and Philippe Biderman
Article Type: Case Report | First Published: March 28, 2016
A 42-year-old gravida 1, 40-weeks' gestation, presented with rupture of membranes in labor. Her history and prenatal care were unremarkable except for obesity. On physical examination, blood pressure was 156/91 mmHg with no other signs of pre-eclamsia. Due to non-progression at active labor, cesarean section was performed with extended "top-up" epidural and delivery of a healthy boy. Immediately after removal of the placenta, the patient reported chest pain, and became unresponsive. ECG (electro...
Open Access DOI:10.23937/2572-3278.1510015
Dietitian Experience with Exclusive Enteral Nutrition for the Treatment of Crohn Disease
Catherine Wall, Andrew Day and Richard Gearry
Article Type: Original Research Article | First Published: June 01, 2016
An electronic survey of Dietitians New Zealand members was undertaken. A link to the survey was disseminated through their weekly electronic newsletter. Survey responses were analyzed using descriptive statistics and responses from pediatric and adult dietitians were compared using Fisher's exact test and Chi-squared test. Open ended questions were summarized using thematic analysis. The responses of New Zealand dietitians were compared to dietitian practice internationally and current inflammat...
Open Access DOI:10.23937/2377-9004/1410081
An Idiopathic Case of Recurrent Spontaneous Ovarian Hyper Stimulation Syndrome
Alessandra Ainsworth, Zaraq Khan and Jani Jensen
Article Type: Case Report | First Published: March 26, 2016
We report a case of recurrent spontaneous ovarian hyperstimulation syndrome (OHSS). The patient presented at 8 weeks gestation. Due to severity of symptoms, the patient required both inpatient and outpatient management. Her symptoms resolved at 11 weeks gestation and the pregnancy was carried to term. Recurrent spontaneous OHSS is a rare and potentially morbid event. While most cases will eventually resolve, patients require careful diagnosis, surveillance, and supportive care....
Open Access DOI:10.23937/2572-4193.1510020
Characterization of Variant Periodic Fever Phenotypes
Michael D Puricelli, Christopher I Newberry, Ryan M Neff, Michael S Cooperstock and Eliav Gov-Ari
Article Type: Research Article | First Published: June 01, 2016
469 charts were reviewed and 31 potential cases identified. 29 individuals were included with 20 successfully contacted. 11 cases met the classic definition (CD), 9 had intermittent cardinal symptom(s) (IS), and 9 had isolated periodic fever (IPF). Treatment included observation, steroid administration, and/or surgery (tonsillectomy or adenotonsillectomy). Steroids terminated each episode in all treated patients, 9/11 with CD and 11/18 with IS/IPF. When steroid treatment shortened the inter-epis...
Open Access DOI:10.23937/2572-3278.1510014
Niacin and Oxidative Stress: A Mini-Review
Faranak Ilkhani, Banafshe Hosseini and Ahmad Saedisomeolia
Article Type: Review Article | First Published: May 18, 2016
Oxidative stress has been implicated in the pathogenesis of a variety of chronic diseases. One of the main factors involved in oxidative stress reduction is increased antioxidant potential. Several nutrients such as vitamin C, vitamin E and carotenoids are known to act as antioxidants; however, niacin is one of the neglected antioxidant nutrients that may have an antioxidant action both independently, and also as a component of the glutathione redox cycle. Thus, this study aimed to review the st...