Open Access DOI:10.23937/2377-9004/1410071

Broad Ligament Hernia after Cesarean Section

Christopher M Tarney, Johnnie Wright Jr and Karen Wilson

Article Type: Case Report | First Published: January 29, 2016

Small bowel obstruction is rare after cesarean section but can become a surgical emergency. As the rate of cesarean deliveries increases, the frequency of complications will likely increase. A 26-year-old woman, gravida 3 para 2002, underwent emergent cesarean section at term for non-reassuring fetal status. The procedure was complicated by difficulty returning the uterus to the abdomen after exteriorization for hysterorrhaphy. She was readmitted and brought to surgery on postoperative day five ...

 Open Access DOI:10.23937/2377-9004/1410069

Latrogenic Myometrial Defect Following Fetoscopic Laser Therapy for Twin-Twin Transfusion Syndrome (TTTS)

Stephanie L Cooper, Sean Spence, David Somerset, Rory Windrim and Greg Ryan

Article Type: Case Report | First Published: January 23, 2016

Monochorionic twin pregnancies have significantly increased risk of fetal loss, perinatal mortality and morbidity compared to dichorionic twin and singleton gestations. Twin to twin transfusion syndrome (TTTS) occurs in 10-15% of these twins, and is the most important cause of mortality....

 Open Access DOI:10.23937/2378-346X/1410047

Removal of Extruded Ex-Press Miniature Glaucoma Device in a Case with Ahmed Glaucoma Valve: A Case Report

Sinan Bilgin and Ozcan Kayikcioglu

Article Type: Case Report | First Published: January 31, 2016

Here, we report our experience with explanation of ex - press miniature glaucoma device which extruded due to conjunctival erosion in a case with Ahmed glaucoma valve implant. After explanation of the shunt, opening-insertion site on the cornea was covered with conjunctival autograft. Although transient hypotony and limited choroidal detachtment were observed in the first two days, no complications related to failure of Ahmed glaucoma valve occurred. Because of an increasing number of patients w...

 Open Access DOI:10.23937/2378-346X/1410046

Novel Deletion in the CNNM4 Gene in Siblings with Jalili Syndrome

F Kiessling, D Mitter, T Langmann, D Muller and H Tegetmeyer

Article Type: Research Article | First Published: January 16, 2016

Different mutations in the CNNM4 (OMIM 607805) gene are known to cause Jalili syndrome (OMIM 217080) which is characterized by a combination of cone-rod dystrophy and amelogenesis imperfecta. In particular one homozygous missense mutation Leu438Profs*9 in exon 1 of the CNNM4 gene has been described in patients originating from the Kosovo. This mutation causes a frameshift and generates a new stop codon in the same exon. The two patients described here carry the same Leu438Profs*9 mutation in a h...

 Open Access DOI:10.23937/2378-3419/3/1/1045

Metastatic Pancreatic Adenocarcinoma to a Lymph Node with Diffuse Large B Cell Lymphoma: A Case Report and Review of the Literature

Xiao Huang, Kazunori Kanehira, Fadi Habib and Bo Xu

Article Type: Case Report | First Published: February 19, 2016

Metastatic carcinoma to a lymph node with high grade lymphoma is very rare, particularly when high grade lymphoma is the first time diagnosis. Here we report a case where metastatic pancreatic ductal adenocarcinoma was found in a retroperitoneal lymph node with diffuse large B cell lymphoma (DLBCL). Histologically, the metastatic adenocarcinoma is located mainly in the subcapsular region....

 Open Access DOI:10.23937/2378-3419/3/1/1044

Incidental Paget's Disease of the Nipple in a Prophylactic Skin-Sparing Mastectomy for BRCA1 Mutation: Implications for Increased Use of Prophylactic Nipple Sparing Mastectomy

Esther Dubrovsky, Farayan Jalalabi, Aysegul Sahin and Dalliah M Black

Article Type: Case Report | First Published: February 10, 2016

Prophylactic skin-sparing mastectomy (SSM) and nipple sparing mastectomy (NSM) have become suitable options for breast cancer prevention in appropriate patients with hereditary risk of breast cancer. Prophylactic total mastectomy (TM) provides approximately 90% to 95%- risk reduction in patients with BRCA1 and BRCA 2 mutations. Initially, bilateral TM was recommended because of the concern for an increased breast cancer risk from remaining residual breast tissue....

 Open Access DOI:10.23937/2378-3419/3/1/1043

Developing Pathway Collection for Personalized Anti-cancer Therapy

Luminita Castillos and Anton Yuryev

Article Type: Research Article | First Published: February 01, 2016

We describe methodology for developing personalized anti-cancer drug therapy using pathway analysis. We successfully applied this methodology to treat several cancer patients that were terminally diagnosed by standard of care criteria at the hospital. Our approach consists of profiling patient tumor using gene expression microarray and calculating pathways responsible for the differential expression between tumor and normal control tissue....

 Open Access DOI:10.23937/2378-3516/1410039

Electron Microscopic Analysis of Silicate and Calcium Particles in Cigarette Smoke Tar

R Steven Pappas, Mary M Halstead and Clifford H Watson

Article Type: Research Article | First Published: February 11, 2016

Scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM-EDS) supplies information that is complementary to those data traditionally obtained using inductively coupled plasma-mass spectrometry for analysis of inorganic tobacco and tobacco smoke constituents. The SEM-EDS approach was used to identify select inorganic constituents of mainstream cigarette smoke "tar". The nature of SEM-EDS instrumentation makes it an ideal choice for microstructural analyses as it provides inform...

 Open Access DOI:10.23937/2378-3516/1410037

Debilitating Disease in a Daring Child with Determined Parents - Impact on Survival

Marie Christy Sharafine Stephen, Eswaran Venkata Raman, Gnanam Aram and Anitha Kumar

Article Type: Case Report | First Published: February 02, 2016

Pompe disease is a rare and progressive lysosomal storage disorder, of autosomal recessive inheritance. Disease onset and progression range from early infantile onset which is fatal and rapidly progressive to the late onset formthatis slowly progressive, but leads to severe respiratory dysfunction and significant morbidity. Besides, scoliosis and other spine deformities cause substantial workload on the already compromised ventilation. This has a major impact on the quality of life and life-expe...

 Open Access DOI:10.23937/2469-570X/1410025

CD271 Negative Human Dental Pulp Cells Yield Significantly More Adherent Colony Forming Cells than the Positive Phenotype

Matthew J Tomlinson, Elena A Jones, Peter V Giannoudis, Xuebin B Yang and Jennifer Kirkham

Article Type: Original Research | First Published: February 08, 2016

Cell surface markers for isolating proliferative human dental pulp stromal cells are currently lacking. Other tissues containing mesenchymal stromal cells have been studied in greater depth and candidate markers for cell isolation identified, one such marker being CD271. Previous reports suggest CD271 as a marker for isolating dental pulp stromal cells from rat incisors. We aimed to study the utility of CD271 as a marker for isolating human dental pulp stromal cells. CD271 positive cells from bo...