Open Access DOI:10.23937/2469-5823/1510020

An Integrative Review of Sickle Cell and Depression

Kimberly L. Tartt, Susan J. Appel, Valerie Mann-Jiles, Kahlil Demonbreun and John Langlow III

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

Purpose:Gain insight and knowledge through the exploration of depression among adult patients living with chronic illness such as sickle cell disease. The review focused on defining the prevalence of depression in chronic illness with emphasis on sickle cell. Associated chronic pain, quality of life, disease trajectory and the need for increased screening and treatment for depression in chronic illness such as with those living with sickle cell disease will be evaluated. Data Sources:A search of...

 Open Access DOI:10.23937/2378-346X/1410041

Intravitreal Implant of Dexamethasone for Treatment of Refractory Cystoid Macular Edema Surgically Induced After Pars Plana Vitrectomy

Rino Frisina and Barbara Parolini

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

Purpose: To evaluate the efficacy and safety of intravitreal implant of Dexamethasone (Ozurdex, Allergan, Irvine, Calif, USA) for the treatment of refractory and chronic cystoid macular edema secondary to PPV and peeling of ERM and internal limiting membrane (ILM) with or without simultaneous cataract surgery. Methods: Seven eyes of 7 patients affected by chronic and refractory CME for at least 3 months after vitrectomy and peeling of ERM and ILM, were recruited. All patients underwent intravitr...

 Open Access DOI:10.23937/2378-346X/1410040

The Cornea after Primary Blast Trauma

Denise S Ryan, Bennett J Oberg, Michael J Mines, Rose K Sia, Keith J Wroblewski, Marcus Colyer, Dal Chun, Eric Weichel and Kraig S Bower

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

Purpose: This study examined the seemingly uninjured eye of soldiers with blast injuries involving the head, face, and fellow eye to obtain insight into primary blast ocular injuries. Methods: Serial exams were performed on nineteen U.S. Army Soldiers with a combat-related blast injury involving the head, face and either eye for effects of primary blast trauma in the clinically unaffected eye. Outcome measures included corrected distance visual acuity (CDVA), endothelial cell density (ECD), corn...

 Open Access DOI:10.23937/2469-5777/1510023

Symptomatic Yuxta-articular Facet Cyst: A Case Report

J Miguel Rodriguez Solera, Ana M Cervan de la Haba, Miguel S Hirschfeld Leon and Enrique Guerado Parra

Article Type: Case Report | First Published: December 30, 2015

We report a case of 66 years-old male with left leg pain that began six months earlier. The pain was aggravated by sitting or climbing stairs but was relieved in the standing position. The physical examination was consistent with a left radiculopathy without sensory or motor deficit. His initial MRI lumbar spine demonstrated a cystic mass with T1 and T2 hyperintensity on the L3-L4 level with considerable thecal sac and nerve root compression. The lesion originated next to the left L3-4 facet joi...

 Open Access DOI:10.23937/2469-5777/1510022

Fracture-Dislocation of the Upper Thoracic Spine without Neurologic Associated Injury: Two Cases Report

J Miguel Rodriguez Solera, Ana Maria Cervan de la Haba, Miguel S Hirschfeld Leon and Enrique Guerado Parra

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

We report a case of 51 years-old male with no past medical history, who was brought to our Hospital after falling from a 10 meters high roof. He had 15 points at Glasgow Coma Scale (GCS) and a completely normal neurological examination. A whole body computerized tomography (CT) scan was performed and diagnosed a fracture-dislocation at T8-T9. Acute surgery was decided, performing an open reduction and internal fixation with pedicle screws from T6 to T1. Clinical outcome was favorable....

 Open Access DOI:10.23937/2469-5777/1510021

Investigation of Intraventricular Hemorrhage Volume in Motor Vehicle Crash Occupants

Jillian E Urban, Christopher T Whitlow and Joel D Stitzel

Article Type: Original Article | First Published: December 17, 2015

Motor Vehicle Crashes (MVCs) are a leading cause of traumatic intracranial injuries which often have devastating impacts on morbidity and mortality. Intraventricular hemorrhage (IVH) is one type of head injury that is identified on post-traumatic computed tomography (CT) scans. IVH is observed less frequently in patients with head trauma, however it is often associated with severe head trauma and negative prognostic outcomes and causation of traumatic IVH is not well-understood. The severities o...

 Open Access DOI:10.23937/2469-5777/1510020

Fracture of the Femoral Neck: SOIB Method

Rinaldo Giancola, Lorenzo Marchesi and Guido Antonini

Article Type: Case Report | First Published: December 14, 2015

Treating fractures of the proximal femur remains a controversial problem. Fractures of the femoral neck occur almost exclusively amongst the elderly (fractures due to bone frailty associated with osteoporosis), whereas fractures in younger people are due to high-energy trauma. The current treatment trend in clinical practice and the literature for these fractures is prosthetic replacement. In this article the authors describe the case of an 81-year-old woman who underwent osteosynthesis due to a...

 Open Access DOI:10.23937/2378-3656/1410081

Screening For Depressive Symptoms at the Beginning of Outpatient Cardiac Rehabilitation by Assessed Perceived Risk Factors by Patients

Saeid Komasi and Mozhgan Saeidi

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

Objectives:The screening for depressive symptoms at the beginning of outpatient cardiac rehabilitation (CR) can significantly increase the quality and quantity of clinical care. This study investigated the degree of depressive symptoms in CR patients according to what they perceived to be the underlying causes of their disease. Methods:The administrative data for this cross-sectional study was obtained from the database of the CR department at Imam Ali hospital in the city of Kermanshah in Iran....

 Open Access DOI:10.23937/2378-3656/1410080

Massive Urinothorax; A Rare Complication after Percutaneous Nephrolithotomy

Ibrahim Halil Bozkurt, Salih Polat, Ismail Gulden, Serkan Yarimoglu, Ozgu Aydogdu, Tarik Yonguc and Volkan Sen

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

The urinothorax or collection of urine in the pleural space is a rare complication following percutaneous nephrolithotomy (PCNL). We present a case of massive urinothorax who had undergone PCNL. Two weeks after PCNL, the patient was admitted to the emergency clinic with dyspnea, chest pain and fever. Thorax and abdomen computed tomography (CT) revealed massive pleural effusion on the left hemithorax and a stone located at the proximal segment of left ureter. A chest tube and a ureteral DJ stent ...

 Open Access DOI:10.23937/2378-3656/1410079

'Dairy-Free' Dietary Substitute, Abdominal Pain, and Weight Loss

Margaret R. Coleman and Mary Thoesen Coleman

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

A 62 year-old Caucasian female experienced cramping abdominal pain of two months' duration associated with 12 pound unintentional weight loss. Laboratory workup, computed tomography scan of abdomen and pelvis and colonoscopy revealed no etiology. Elimination of carrageenan-containing almond milk from her diet which she had substituted for cow's milk several months prior resulted in stabilization of weight and resolution of symptoms. Conclusion:Certain food substitutions for dairy products may ex...