Open Access DOI:10.23937/2469-5858/1510006

A Survey of Obstetrician-Gynecologists Regarding their Care of Women 65 Years or Older

William F Rayburn, Greta B Raglan, Carla J Herman and Jay Schulkin

Article Type: Research Article | First Published: December 02, 2015

The population of older Americans is expected to represent 20 percent of the total U.S. population in the next 50 years, and older women will comprise the majority of that group. Thus, health care needs of this group are and will continue to be an increasing concern. Several factors such as diversity of the population, distinguishing between normal aging and disease, and the impact of socioeconomic concerns on physical and mental health are important for developing preventive and treatment strat...

 Open Access DOI:10.23937/2572-3243.1510005

Treatment of Recalcitrant Lateral Epicondylitis with Autologous Conditioning Plasma

Wing Yum Man, Paul Y Lee and Andrew Rogers

Article Type: Research Article | First Published: December 31, 2015

Background: Platelet-rich plasma (PRP) injections are part of a developing therapy believed to promote healing using the patient's own blood components. Certain studies have shown PRP treatment to be effective in the treatment of various tendinopathies such as lateral epicondylitis. Currently there is no standard method for PRP preparation with manufacturers each claiming various benefits for their system. Purpose: Autologous Conditioning serum (ACP) (Arthrex, Naples, Florida) is a recent develo...

 Open Access DOI:10.23937/2572-3243.1510004

Infrequently Encountered Multiple Displaced Proximal Phalangeal Fractures of the Hand: A Surgical Case Report

Hamdi Kaziz, Thabet Mouelhi, Mohamed Amine Triki, Yamen Grissa, Nader Naouar and Mohamed Laziz Ben Ayeche

Article Type: Case Report | First Published: November 16, 2015

Proximal phalangeal fractures are frequently seen in hand injuries. However, multiple proximal phalangeal fractures are uncommon and they are the direct result of a high energy force. The prevalence of multiple phalangeal fractures in our hospital is estimated at roughly 3 cases each year but rarely multiple displaced fractures have been reported. The treatment depends on whether they are displaced, comminuted, compound, intraarticular, spiral, or avulsion injuries. Simple minimally displaced fr...

 Open Access DOI:10.23937/2572-4061.1510003

Long-Term Effects on Renal Function in Children and Adolescents Due to Environmental Exposure to Lead-Results from an 11-Year Prospective Cohort Study

Recio-Vega R, Gurrola-Mendez A, Valdez-Abrego C and Rivera-Guillen Mario

Article Type: Research Article | First Published: December 31, 2015

Lead is a widespread toxicant with well-established detrimental health effects. Environmental exposure to lead occurs through different means such as industrial and combustion sources, lead paint, folk remedies, glazed pottery, and sometimes by drinking water. Some groups are disproportionately exposed to lead, including those who live close to industrial facilities or with low socio economic status and workers in small or mobile workplaces such as radiator repair shops and construction sites......

 Open Access DOI:10.23937/2572-4061.1510002

Hydroxypyrene Excretion as Indicator of Cancer Risk in Street Sweepers and Polycyclic Aromatic Hydrocarbons (Pahs) Exposure

Mazzotta M, Mazzotta AD, d'Ettorre G, Cazzato RG, Simone C and Fernandez M

Article Type: Research Article | First Published: December 16, 2015

Exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with possible carcinogenicity, according to European directives. Studies helped to clarify the contributions to the total dose resulting from environmental and occupational exposure, by tobacco smoke, by diet and skin absorption. Recently, it was shown that levels of 1-Hydroxypyrene U (1-OHPu) may be predictive of individual dose, environmental and employment exposure, proportionately even though indirectly expressing the concentr...

 Open Access DOI:10.23937/2378-3516/1410036

Endobronchial Lipoma in a Never-Smoker

Li Wang, Meenakshi Bansal and Guang-Qian Xiao

Article Type: Case Report | First Published: December 22, 2015

Endobronchial lipomas, usually found in the obese and in smokers, can cause patients significant distress with chronic cough, chest pain, dyspnea, and increased infection risk. Here we present a case of a 61 year-old obese, never-smoker gentleman who initially presented with chronic productive cough, hemoptysis, chills and night sweats; and was later found to have a right upper lobe lung parenchymal lesion. Biopsy demonstrated a picture consistent with obstructive endobronchial lipoma....

 Open Access DOI:10.23937/2377-3634/1410050

A Comprehensive Analysis of the Financial Burden of Diabetes Mellitus at Rafik Hariri University Hospital: The Economic Implications from the Public Sector Perspective in Lebanon

Akram Echtay, Rita Nemr, Maya Chehabeddine, Ramona Abi Gerges, Wadih Baajour, Nader Kakoun, Marwan Charif and Selim Jambart

Article Type: Research Article | First Published: December 18, 2015

Diabetes Mellitus (DM) is a pandemic health problem with an unprecedented number of patients reaching hundreds of millions, and characterized by the vascular complications and premature mortality incurring a high cost of management. The aim of this study was to assess the economic burden of DM management and its complications in Beirut through comparing the hospitalization cost for patients with DM to that of patients not suffering from DM....

 Open Access DOI:10.23937/2378-346X/1410045

Is Balancing Blood Pressure Night Dips Effective in Preventing Glaucoma Progression? A Pilot Study

Gil Peretz and Miriam Zalish

Article Type: Research Article | First Published: December 24, 2015

Much has been written about the relationship between intraocular pressure (IOP) and glaucoma. An elevated IOP has been found to be a risk factor for both glaucoma development and progression, and IOP reduction has been useful in at least slowing disease progression [1-4]. Some glaucoma patients continue to progress in spite of having low IOP levels, and this applies to treated patients with primary open angle glaucoma (POAG) as well as treated patients with normal tension glaucoma (NTG)....

 Open Access DOI:10.23937/2378-3664/1410013

Modification of the Uranyl Acetate Replacement Staining Protocol for Transmission Electron Microscopy

Santhana Raj L, Paramsavaran S, Koay BT, Izan Shahrina A and Siti Aminah N

Article Type: Review Article | First Published: January 02, 2016

A uranyl acetate replacement staining protocol has eliminated the need for highly toxic uranyl acetate in the electron microscopy laboratory. However, the method is results in undesirable charging effects when viewed under the transmission electron microscope and can be further improved. A modification of the uranyl acetate replacement staining protocol that simplifies the process is described. The modified method takes less time, and produces better contrast and less charging effects compared t...

 Open Access DOI:10.23937/2469-5793/1510022

Utilization of Post Abortion Contraceptive and Associated Factors among Women who Came for Abortion Service: a Hospital Based Cross Sectional Study

Lealm Kokeb, Endeshaw admassu, Hiwot Kassa and Tewodros Seyoum

Article Type: Original Article | First Published: December 14, 2015

Introduction: Worldwide as well as in Ethiopia abortion is one of the top lead causes of maternal death. Unwanted pregnancies which end up in abortion occur due to contraception method non use or misuse. To decrease unintended pregnancies and avoid repeated abortions advancing immediate post abortion contraception is crucial. Objective: To assess utilization of post abortion contraceptive and associated factors among women came for abortion service in health institutions at Debre Marcos town, No...