Open Access DOI:10.23937/2469-584X/1510009
Endoscopic Retrograde Cholangiopancreatography in Pediatric Biliary Diseases
Paola De Angelis, Renato Tambucci, Giulia Angelino, Filippo Torroni, Francesca Rea, Giovanni Federici di Abriola, Francesca Foschia, Tamara Caldaro, Simona Faraci, Anna Chiara Contini, Erminia Romeo and Luigi Dall'Oglio
Article Type: Review Article | First Published: January 04, 2016
Endoscopic retrograde colangio-pancreatography (ERCP) in children is currently widespread and utilized, particularly for therapeutic indication, as in adulthood. ERCP considered efficacy and safe in children, if performed by expert endoscopists. In the last year, the incoming progress of magnetic resonance image (MRI), especially in collaborator pediatric patients, eliminated many diagnostic indications for ERCP, leaving therapeutic aims as in adults....
Open Access DOI:10.23937/2474-3631/1510015
Missed Opportunities: The Limited Utilization of Alcohol Abstinence Medications
Gwen Levitt
Article Type: Original Article | First Published: March 01, 2016
There is a high rate of alcohol use disorders (AUDs) in the United States and this poses a substantial burden on the medical system due to health complications. Medications to treat AUDs have been proven to have efficacy in reducing the number of drinking days, amount of alcohol consumed at a time, and in achieving overall abstinence from alcohol. Medicare studies, as well as other researchers, have shown that alcohol abstinence medications (AAMs) are underutilized....
Open Access DOI:10.23937/2474-3631/1510014
Clustering Alcohol Use Behavior: State Socioeconomic Conditions, Alcohol Policy and Individual Regular Alcohol Use in the US
Tulshi D Saha, Roger Pickering, Bridget F Grant
Article Type: Original Article | First Published: February 29, 2016
This multilevel study examined whether state-level variations existed in the prevalence of regular alcohol use in the US after controlling for individual characteristics, evaluating the contribution of both individual socio-economic status, and state economic and alcohol policy in explaining alcohol use behavior using data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions and data from the U.S. Census and National Institute of Alcohol Abuse and Alcoholism State P...
Open Access DOI:10.23937/2469-5777/1510034
Isolated Scaphoid Dislocation
Lasanka De Silva, Lachlan Mc Combie Batty, Neil Fergus Mackay and Jonathan Seymour Mulford
Article Type: Case Report | First Published: March 17, 2016
A 76 year old right hand dominant male retired anaesthetist presented with a painful and swollen right wrist after falling from standing height, landing on the ulnar aspect of his out stretched right hand. The injury was closed and the limb was neurovascularly intact. He had a previous distal radius fracture years ago previously treated non-operatively. Wrist radiographs demonstrated an isolated scaphoid dislocation (Figure 1)....
Open Access DOI:10.23937/2469-5777/1510032
Tibial Plateau in Combination with Diaphyseal Fracture: A Case Study
Ran Atzmon, Zachary Sharfman T, Oded Rabau, Gabriel Agar, Yiftah Beer and Dror Lindner
Article Type: Case Report | First Published: February 09, 2016
Simultaneous tibial plateau and diaphyseal tibial fractures are a rare occurrence and have seldom been reported in the literature. Each fracture requires a different surgical approach, which creates challenges for the operating physician. Tibial plateau fractures require anatomical reduction and restoration of the joint line in order to achieve rigid fixation and immediate mobilization of the joint. Conversely, diaphysis tibial fractures can be treated with relative stability and do not require ...
Open Access DOI:10.23937/2469-5777/1510031
A Case Report of a Rare Complication of an Intrapelvic Migration of the Lag Screw of a Gamma Nail: Review of the Literature
Dimitrios Georgiannos, Vasilios Lampridis and Ilias Bisbinas
Article Type: Case Report | First Published: February 06, 2016
Gamma nail is a safe internal fixation device widely used for treatment of pertrochanteric fractures. Cut out of lag screw has been reported to be the most frequent mechanical complication. Penetration of acetabulum and intrapelvic migration of the lag screw of the gamma nail is an extremely rare complication. We report two cases of medial migration and penetration of the medial wall of acetabulum by the lag screw of a gamma nail and a comprehensive review of the literature....
Open Access DOI:10.23937/2469-5823/1510040
An Untapped Resource in Patient Centered Care - The Role of Spirituality
L. Abraham and D. Dunn
Article Type: Case report | First Published: March 06, 2016
In our 25 year experience delivering care to a frail elderly population our Geriatric Team has noted that many of our health care colleagues do not routinely assess the spiritual needs of sick persons. There is no consistent assessment of this need in the routine medical care of older patients. This spiritual need has to be understood in terms of the whole person-the emotional, social and spiritual dimensions of our being, as well as the physical....